Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DONALD HANSEN, OWNER
Active Sole ProprietorDONALD HANSEN, OWNER is a Clinical Medical Laboratory healthcare provider located in BOLINGBROOK, Illinois. NPI 1720452709 is currently active in the NPPES registry. Verify at CMS.
Clinical Medical Laboratory · BOLINGBROOK, IL
Registration Details
- NPI Number
- 1720452709
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 13, 2015 (10.781909319457 yrs)
- Last Updated
- Nov 13, 2015
- License
-
14D2099042 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
541 SPRUCE RDBOLINGBROOK, IL, 604402504Browse IL providers · Browse ZIP 60440
- Phone
- 6307507378
- Fax
- 6309298057
- Primary Specialty
-
Clinical Medical Laboratory
291U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.