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Organization

FAIS REFERENCE LABS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTY FARMER (OFFICE MANAGER)
(815) 937-7962
Entity
Organization

Contact information

Practice address
475 BROWN BLVD STE 103, BOURBONNAIS, IL 60914-2325
(815) 936-8962
(815) 936-8650
Mailing address
475 BROWN BLVD STE 103, BOURBONNAIS, IL 60914-2325
(815) 936-8962
(815) 936-8650

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
10/10/2024
Last updated
03/05/2025
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