| Gotham Lab Services Llc | |
|
4018 Charleston Rd Apt 2n Matteson IL 60443-2674 | |
| (312) 550-2573 | |
| (888) 253-2417 |
| Full Name | Gotham Lab Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 4018 Charleston Rd Apt 2n, Matteson, Illinois |
| Authorized Official Name and Position | Byron Louis Taylor (OWNER) |
| Authorized Official Contact | 3125502573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gotham Lab Services Llc 4018 Charleston Rd Apt 2n Matteson IL 60443-2674 Ph: (312) 550-2573 | Gotham Lab Services Llc 4018 Charleston Rd Apt 2n Matteson IL 60443-2674 Ph: (312) 550-2573 |
| NPI Number | 1487596193 |
|---|---|
| Provider Enumeration Date | 04/09/2026 |
| Last Update Date | 04/09/2026 |
| Certification Date | 04/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487596193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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