Organization
NEW CENTURY DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN LIKER (OWNER)
(847) 537-9600
Entity
Organization
Contact information
Practice address
290 LEXINGTON DR, BUFFALO GROVE, IL 60089-6933
(847) 537-9600
(847) 537-9622
Mailing address
290 LEXINGTON DR, BUFFALO GROVE, IL 60089-6933
(847) 537-9600
(847) 537-9622
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14D0993872
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001632093
BLUE CROSS BLUE SHIELD PR
IL
Enumeration date
11/09/2006
Last updated
02/17/2014
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