Organization
LAKEVIEW DIAGNOSTICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZAM ABBASI (PRESIDENT)
(773) 910-0193
Entity
Organization
Contact information
Practice address
708 LAVERGNE AVE, WILMETTE, IL 60091
(773) 910-0193
Mailing address
708 LAVERGNE AVE, WILMETTE, IL 60091-2028
(773) 910-0193
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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