Organization
TRIDENT DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE CHERNY (MANAGER)
(847) 322-2438
Entity
Organization
Contact information
Practice address
16801 ADDISON RD STE 124, ADDISON, TX 75001-5696
(972) 380-5630
(972) 380-5635
Mailing address
10071 BRONX AVE, SKOKIE, IL 60077-1003
(847) 322-2438
(312) 256-9749
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
TX
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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