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Search › Illinois › Clinical Medical Laboratory

Donald Hansen, OWNER

NPI 1720452709 · on the registry since 2015 · sole proprietor

Practice

Address
541 Spruce Rd
Bolingbrook, IL 60440
Phone
(630) 750-7378
Fax
(630) 929-8057
Organisation at this address
Hansen Lab Service Inc
Liberty Mobile Labs Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Clinical Medical Laboratory
291U00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-11-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois