Organization
STAR LAB, INC
Active
Organization
STAR LAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD FELICELDA (ADMINISTRATOR)
(847) 802-2288
Entity
Organization
Contact information
Practice address
9213 PARKLANE AVE, FRANKLIN PARK, IL 60131-2837
(847) 329-7500
Mailing address
255 GARDEN DR, ELGIN, IL 60124-0230
(847) 802-2288
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
—
—
246RM2200X
Medical Laboratory Technician
—
—
246RP1900X
Phlebotomy Technician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/13/2011
Last updated
04/22/2016
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