Organization
LAB EXPRESS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN T VILLAFANE JR. (GENERAL MANAGER)
(708) 907-5694
Entity
Organization
Contact information
Practice address
5000 W 95TH ST STE A, OAK LAWN, IL 60453-2402
(708) 907-5694
(708) 634-4220
Mailing address
5000 W 95TH ST STE A, OAK LAWN, IL 60453-2402
(708) 907-5694
(708) 634-4220
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
IL
Other
Enumeration date
11/29/2011
Last updated
10/11/2024
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