Organization
SOUTH CHICAGO LAB LIMITED
Active
Other names
SOUTH CHICAGO LAB LIMITED
Organization subpart
No
Provider details
NPI number
Authorized official
KARTHIK V ACHARI RN (RN)
(630) 991-8787
Entity
Organization
Contact information
Practice address
10500 SOUTHWEST HWY STE C, CHICAGO RIDGE, IL 60415-2805
(815) 440-9285
Mailing address
10500 SOUTHWEST HWY STE C, CHICAGO RIDGE, IL 60415-2805
(630) 991-8787
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
IL
Enumeration date
02/08/2021
Last updated
07/10/2023
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