Healthcare Provider Details
I. General information
NPI: 1154040657
Provider Name (Legal Business Name): METRO LABS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2022
Last Update Date: 08/26/2022
Certification Date: 08/26/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2764 AURORA AVE STE 124
NAPERVILLE IL
60540-1007
US
IV. Provider business mailing address
16310 S LINCOLN HWY
PLAINFIELD IL
60586-9006
US
V. Phone/Fax
- Phone: 630-445-8189
- Fax: 888-445-0342
- Phone: 815-782-8440
- Fax: 815-926-5305
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
NAKIS
Title or Position: OWNER
Credential: DC
Phone: 630-445-8189