Organization · Type 2 NPI
South Chicago Lab Limited
Clinical Laboratory Director (Non-physician) · Chicago Ridge, IL
NPI number
1679165039
Active
Practice location
10500 Southwest Hwy Ste C
Chicago Ridge, IL 60415-2805
Other practice locations
- 10500 Southwest Hwy Ste C, Chicago Ridge, IL 60415-2805 · (630) 991-8787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Laboratory Director (Non-physician) Primary | 247ZC0005X | None listed |
Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
About NPI 1679165039
South Chicago Lab Limited's National Provider Identifier is 1679165039, issued on Feb 8, 2021. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Chicago Ridge, IL. The record was last updated on Jul 10, 2023.