Organization
MEDICAL DIAGNOSTIC LABORATORIES,LLC
Active
Parent organization
MEDICAL DIAGNOSTIC LABORATORIES, LLC
Other names
MDL-IL
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL DIAGNOSTIC LABORATORIES, LLC
Authorized official
MILISSA EARNEST (REVENUE MANAGER)
(609) 528-6613
Entity
Organization
Contact information
Practice address
8238 S MADISON ST, BURR RIDGE, IL 60527-5811
(630) 560-0536
(630) 560-0120
Mailing address
2439 KUSER RD, HAMILTON, NJ 08690-3303
(609) 269-0090
(609) 570-1050
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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