Laks, Mitchell
Laks, Mitchell is an individual health care provider with primary practice located at 2250 W Campbell Park Dr , Chicago IL 60612-3502. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Laboratory Management, Diplomate, which is considered as his primary health care specialty. Laks, Mitchell can be contacted via phone (312) 243-0600.Contact Information
Primary practice address
2250 W Campbell Park Dr
Chicago IL 60612-3502
Phone: (312) 243-0600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Laboratory Management, Diplomate | 246QL0901X |
Profile Details
| NPI number | 1093121188 |
|---|---|
| LBN Legal business name | Laks, Mitchell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2014 |
| Last updated | Jul 9th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093121188 | NPPES |
| Other | 14D0897314 | CLIA |
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