Organization
INSIGHT MEDICAL GENETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORRIS FIDDLER PHD (MANAGING MEMBER/PRESIDENT)
(312) 981-4400
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR, SUITE 1230, CHICAGO, IL 60611-4546
(312) 981-4400
Mailing address
680 N LAKE SHORE DR, SUITE 1230, CHICAGO, IL 60611-4546
(312) 981-4400
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D1000956
CLIA
—
Enumeration date
09/13/2013
Last updated
07/23/2014
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