14D0688732 CLIA NUMBER - DUPAGE MEDICAL GROUP - BLOOMINGDALE

Laboratory Demographics

CLIA Number: 14D0688732

Facility Name: DUPAGE MEDICAL GROUP - BLOOMINGDALE

Facility Address:
220 SPRINGFIELD DR, SUITE 210
BLOOMINGDALE, IL
ZIP 60108
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Facility Phone Number: (630) 893-2210

Facility Type: ANCILLARY TEST SITE

Certificate Type: Microscopy

NPI Number: 1437394954

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	14D0688732
LAB Type	ANCILLARY TEST SITE
Facility Name	DUPAGE MEDICAL GROUP - BLOOMINGDALE
Street	220 SPRINGFIELD DR, SUITE 210
City	BLOOMINGDALE
State	IL
ZIP	60108
Phone	(630) 893-2210

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This page was last updated on: 5/11/2023