Evergreen Sheridan Laboratories Ltd

LBN: Evergreen Sheridan Laboratories Ltd
Evergreen Sheridan Laboratories Ltd is an health care organization with primary practice located at 9760 S Kedzie Ave , Evergreen Park IL 60805. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Evergreen Sheridan Laboratories Ltd can be contacted via phone (708) 423-2660, or through Jutzi, Karen A via phone (708) 423-2660.

Contact Information

Primary practice address
9760 S Kedzie Ave Evergreen Park IL 60805
Phone: (708) 423-2660
Fax: (708) 423-1960
Website:
Map and Directions
Authorized official contact:
Name: Jutzi, Karen A LAB TECHNOLOGIST
Phone: (708) 423-2660

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1972513661
LBN Legal business name Evergreen Sheridan Laboratories Ltd
DBA Doing business as
Authorized official Jutzi, Karen A LAB TECHNOLOGIST
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Jun 12th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972513661 NPPES
Illinois Other 50000044 BLUE CROSS BLUE SHIELD

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