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Organization

COVID TESTING NOW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL MARTENS (DIRECTOR OF OPERATIONS)
(602) 882-4817
Entity
Organization

Contact information

Practice address
1415 W 22ND ST STE 1210, OAK BROOK, IL 60523-8433
(630) 445-4702
Mailing address
1415 W 22ND ST STE 1210, OAK BROOK, IL 60523-8433

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary

Other

Enumeration date
12/29/2021
Last updated
12/29/2021
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