14D0418728 CLIA NUMBER - UROPARTNERS

Laboratory Demographics

CLIA Number: 14D0418728

Facility Name: UROPARTNERS

Facility Address:
2850 W 95TH ST STE 202
EVERGREEN PARK, IL
ZIP 60805
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Facility Phone Number: 708 422-2242

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1306987896

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name Field Value
CLIA Number 14D0418728
LAB Type Physician Office
Facility Name UROPARTNERS
Street 2850 W 95TH ST STE 202
City EVERGREEN PARK
State IL
ZIP 60805
Phone 708 422-2242
CertificateType 4
CertificateEffectiveDate 8/21/2023
CertificateExpirationDate 8/20/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024