Organization
GLASS CLINICAL LABS INC.
Active
Organization
GLASS CLINICAL LABS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOLAVENNU V KRISHNAIAH PH.D (DIRECTOR)
(708) 991-0714
Entity
Organization
Contact information
Practice address
18238 AIDA CT, HOMEWOOD, IL 60430-2867
(708) 991-0714
Mailing address
18238 AIDA CT, HOMEWOOD, IL 60430-2867
(708) 991-0714
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
001
IL
Other
Enumeration date
03/06/2007
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up