Organization
CRESCENT LABS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEJESWAR PRASAD OLETI (PRESIDENT)
(312) 487-9787
Entity
Organization
Contact information
Practice address
201 E ARMY TRAIL RD STE 202, BLOOMINGDALE, IL 60108-2103
(312) 487-9787
Mailing address
201 E ARMY TRAIL RD STE 202, BLOOMINGDALE, IL 60108-2103
(312) 487-9787
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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