Organization
AMERICAN MEDICAL LAB LTD
Active
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
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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