Organization
PREFERRED DIAGNOSTICS., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE CHERNY (PRESIDENT)
(847) 322-2438
Entity
Organization
Contact information
Practice address
1103 N CROSBY ST # A, CHICAGO, IL 60610-2405
(847) 322-2438
(312) 624-7989
Mailing address
1103N. CROSBY ST. STE. A, CHICAGO, IL 60610-2405
(847) 322-2438
(312) 624-7989
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635845
BLUE CROSSB BLUE SHIELD
IL
Enumeration date
10/03/2006
Last updated
08/22/2020
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