Organization
END 2 END
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE D WELCH (PRESIDENT)
(773) 350-9435
Entity
Organization
Contact information
Practice address
142 S 10TH AVE, MAYWOOD, IL 60153-3424
(773) 350-9435
Mailing address
142 S 10TH AVE, MAYWOOD, IL 60153-3424
(773) 350-9435
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/30/2022
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