Organization
THERATEST LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIUS TEODORESCU M.D. (PRESIDENT AND CEO)
(630) 627-6069
Entity
Organization
Contact information
Practice address
1111 N MAIN ST, LOMBARD, IL 60148-1360
(630) 627-6069
(630) 627-4231
Mailing address
1111 N MAIN ST, LOMBARD, IL 60148-1360
(630) 627-6069
(630) 627-4231
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2087-8990 TLV
IL
Other
Enumeration date
06/28/2005
Last updated
08/22/2020
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