Organization
GO LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TOYA T SPROUL GEN PTR, PBT (OWNER/PHLEBOTOMIST)
(224) 789-8076
Entity
Organization
Contact information
Practice address
4106 PHILLIP DR, ZION, IL 60099-9204
(224) 789-8076
(928) 222-3678
Mailing address
4106 PHILLIP DR, ZION, IL 60099-9204
(224) 789-8076
(928) 222-3678
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/02/2011
Last updated
10/26/2011
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