Provider Demographics
NPI:1841757218
Name:EXAM CORP
Entity Type:Organization
Organization Name:EXAM CORP
Other - Org Name:EXAM CORP LAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOURIABALIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-391-9881
Mailing Address - Street 1:9024 N MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-1537
Mailing Address - Country:US
Mailing Address - Phone:847-391-9881
Mailing Address - Fax:847-391-9886
Practice Address - Street 1:9024 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-1537
Practice Address - Country:US
Practice Address - Phone:847-391-9881
Practice Address - Fax:847-391-9886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty