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NPI 1265737787

OrganizationActive

Physicians Laboratory, LLC

NPI 1265737787 · Supports Brokerage Agency · Chicago, IL

Provider details

NPI number: 1265737787
Entity type: Organization
Primary specialty: Supports Brokerage AgencyAgencies
Authorized official: William Navas, President

Practice location

1410 W Fulton St

Suite 204

Chicago, IL 60607-1110

Phone: (312) 262-4600

Fax: (312) 262-4531

More IL providers

Mailing address

1410 W Fulton St

Chicago, IL 60607-1110

Registry dates

Enumerated: 2011-01-13
Last updated: 2011-01-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Physicians Laboratory, LLC — NPI 1265737787, Chicago, IL | NPI Central