Organization
ADVANCED DIAGNOSTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY KUMAR MADUPALLY (OWNER)
(872) 235-7035
Entity
Organization
Contact information
Practice address
3420 W PETERSON AVE STE 2, CHICAGO, IL 60659-3467
(872) 235-7035
Mailing address
3420 W PETERSON AVE STE 2, CHICAGO, IL 60659-3467
(872) 235-7035
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
05/23/2025
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