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Fort Care, Llc
Clinical Medical Laboratory in Berwyn, Illinois
NPI 1841906047

Fort Care, Llc is a Clinical Medical Laboratory based in Berwyn, IL. Fort Care, Llc practices in Berwyn, IL. The NPI Number for Fort Care, Llc is 1841906047 and holds a License No. (Illinois).

The current practice location address for Fort Care, Llc is 2821 S Harlem Ave Ste 9, Berwyn, IL and can be reached out via phone at 800-897-4575 and via fax at 800-306-9509.

Location: 2821 S Harlem Ave Ste 9, Berwyn, IL, 60402-5273
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841906047
Provider Name
Fort Care, Llc
Credential
Provider Entity Type
Organization
Address
2821 S Harlem Ave Ste 9, Berwyn, IL, 60402-5273
Phone Number
800-897-4575
Fax Number
800-306-9509
Provider Enumeration Date
01/31/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14D2284487 01 IL CMS CLIA CERTIFICATE OF WAIVER
institution
Provider Business Practice Location Address Details
Address
2821 S Harlem Ave Ste 9
City
Berwyn
State
Illinois
Zip
60402-5273
Phone Number
800-897-4575
Fax Number
800-306-9509
person
Provider Business Mailing Address Details
Address
2821 S Harlem Ave Ste 9
City
Berwyn
State
Illinois
Zip
60402-5273
Phone Number
800-897-4575
Fax Number
800-306-9509
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
()
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
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