14D2028320 CLIA NUMBER - NCH MEDICAL GROUP (ENDEAVOR)

Laboratory Demographics

  • CLIA Code: 14D2028320
  • Facility Name: NCH MEDICAL GROUP (ENDEAVOR)
  • Facility Address: 199 W RAND RD - 2ND FLR - STE 203
    MOUNT PROSPECT, IL
    ZIP 60056
  • Facility Phone: 847 618-5450
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILLIP KILEY
  • NPI Number: 1154379485
  • Taxonomy: 207T00000X - Neurological Surgery

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CLIA Record

Field Name Field Value
CLIA Number 14D2028320
LAB Type Physician Office
Facility Name NCH MEDICAL GROUP (ENDEAVOR)
Street 199 W RAND RD - 2ND FLR - STE 203
City MOUNT PROSPECT
State IL
ZIP 60056
Phone 847 618-5450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director PHILLIP KILEY

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This page was last updated on: 9/29/2025