Organization
AMERICAN MEDICAL LAB LTD
Active
Other names
American Medical Lab, LTD, American Medical Lab
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BISHOP (CEO)
(708) 530-3844
Entity
Organization
Contact information
Practice address
10604 SOUTHWEST HWY STE 106B, CHICAGO RIDGE, IL 60415-2717
(708) 926-2116
(708) 377-2201
Mailing address
10604 SOUTHWEST HWY STE 106B, CHICAGO RIDGE, IL 60415-2717
(708) 926-2116
(708) 377-2201
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
14D2042488
IL
291U00000X
Clinical Medical Laboratory
Primary
—
IL
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300001674
—
IN
Enumeration date
12/17/2014
Last updated
02/16/2025
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