14D2227250 CLIA NUMBER - THOMPSON MEDICAL INCORPORATED

Laboratory Demographics

CLIA Number: 14D2227250

Facility Name: THOMPSON MEDICAL INCORPORATED

Facility Address:
4564 N BROADWAY ST
CHICAGO, IL
ZIP 60640
Get Directions

Facility Phone Number: (773) 271-9700

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1356814503

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2227250
LAB Type	PHYSICIAN OFFICE
Facility Name	THOMPSON MEDICAL INCORPORATED
Street	4564 N BROADWAY ST
City	CHICAGO
State	IL
ZIP	60640
Phone	(773) 271-9700

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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