Organization
K LABORATORY LLC
Active
Other names
K Laboratory LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN FOURTE (CEO/MEMBRER)
(773) 392-2901
Entity
Organization
Contact information
Practice address
17901 GOVERNORS HWY STE 204, HOMEWOOD, IL 60430-1146
(773) 392-2901
(773) 439-2838
Mailing address
1527 TIENSTRA CT, HOMEWOOD, IL 60430-1352
(773) 392-2901
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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