14D2190703 CLIA NUMBER - URGENT MEDICAL CARE MANAGEMENT, L L C

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Laboratory Demographics

CLIA Number: 14D2190703

Facility Name: URGENT MEDICAL CARE MANAGEMENT, L L C

Facility Address:
980 PLAINFIELD RD
BURR RIDGE, IL
ZIP 60527
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Facility Phone Number: 630 541-6679

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1699397729

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2190703
LAB Type	Other - URGENT CARE
Facility Name	URGENT MEDICAL CARE MANAGEMENT, L L C
Street	980 PLAINFIELD RD
City	BURR RIDGE
State	IL
ZIP	60527
Phone	630 541-6679
CertificateType	4
CertificateEffectiveDate	8/18/2022
CertificateExpirationDate	8/17/2024
FacilityType	Waiver

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