Diagnostic Medical Laboratory, Inc.
LBN: Diagnostic Medical Laboratory, Inc.
Diagnostic Medical Laboratory, Inc. is an health care organization with primary practice located at 4554 N. Broadway Street Suite 317, Chicago IL 60640-5642. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Laboratory Management, which is considered as the primary health care specialty.
Diagnostic Medical Laboratory, Inc. can be contacted via phone (773) 255-4959, or through Tengbeh, Joseph S via phone (773) 255-4959.
Contact Information
Primary practice address
4554 N. Broadway Street Suite 317
Chicago IL 60640-5642
Phone: (773) 255-4959
Fax: (773) 506-0269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Laboratory Management | 246QL0900X |
Profile Details
| NPI number | 1376685016 |
|---|---|
| LBN Legal business name | Diagnostic Medical Laboratory, Inc. |
| DBA Doing business as | Diagnostic Medical Laboratory, Inc. |
| Authorized official | Tengbeh, Joseph S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Feb 22nd, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376685016 | NPPES |
| Illinois | MEDICAID | 20388576001 |
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