Adeona Clinical Laboratory LLC
Organization Active NPI Clinical Medical Laboratory · Bolingbrook, IL
NPI 1366493355 · NPPES record last updated Dec 15, 2010
Key facts
- NPI
- 1366493355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 14D1051026 (IL)
- Legal business name
- ADEONA CLINICAL LABORATORY LLC
- Practice address
- 391 Quadrangle Dr
Suite N9
Bolingbrook, IL 60440-3442 - Phone
- (630) 378-2100
- Fax
- (630) 378-2990
- NPI assigned
- May 13, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ADEONA PHARMACEUTICALS, INC
Authorized official
- Name
- Dr. Narayan Torke
- Title
- Director
- Phone
- (630) 378-2100
National Provider Directory
Locations
391 Quadrangle Dr
Ste N9
Bolingbrook, IL 60440
Phone (630) 378-2100
391 Quadrangle Dr
Ste N8
Bolingbrook, IL 60440
Phone (630) 378-2100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 14D1051026 | IL | Yes |
Addresses
Primary practice location
391 Quadrangle Dr
Suite N9
Bolingbrook, IL 60440-3442
Mailing address
391 Quadrangle Dr
Suite N9
Bolingbrook, IL 60440-3442
Phone (630) 378-2100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001 | Medicaid | IL |
Other providers in Bolingbrook, IL
- Access Psychotherapy Center
- Accurate Medical Supply
- Kasey Acito
- Tressey L Adams
- Adeona Clinical Laboratory LLC
- Adult Health LTD
- Advance Med Wellness LLC
- Advance Surgical Instruments Inc
- Advanced Allergy & Asthma Clinic S C
- Advanced Family Eyecare Center of Bolingbrook,Inc.
All providers in Bolingbrook, IL · Clinical Medical Laboratory in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.