MEDICARE: AMERICAN MOLECULAR LABORATORIES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1982142402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN MOLECULAR LABORATORIES INC

Provider Business Mailing Address
First Line	:	50 LAKEVIEW PKWY STE 127
Second Line	:
City	:	VERNON HILLS
State	:	IL
Zip	:	60061-1590
Country	:	US
Telephone Number	:	847-281-7670
Fax Number	:	847-281-7671

Provider Business Practice Location Address
First Line	:	50 LAKEVIEW PKWY STE 127
Second Line	:
City	:	VERNON HILLS
State	:	IL
Zip	:	60061-1590
Country	:	US
Telephone Number	:	847-281-7670
Fax Number	:	847-281-7671

Authorized Official
Title or Position	:	CEO
Name	:	HONGJUN ZHANG
Credential	:
Telephone Number	:	847-281-7670

Provider Enumeration Date	:	02/03/2017
Last Update Date	:	02/03/2017

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