Organization · Type 2 NPI

Comprehensive Hemostasis and Thrombosis Institute

Clinical Medical Laboratory · Peoria, IL

NPI number 1194711234 Active

Practice location

4727 N Sheridan Rd
Peoria, IL 61614-5925

Fax (309) 688-0917

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000X14D0982678 CLIA

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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About NPI 1194711234

Comprehensive Hemostasis and Thrombosis Institute's National Provider Identifier is 1194711234, issued on Sep 23, 2005. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Peoria, IL. The record was last updated on Aug 8, 2008.