| NPI | 1003251141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DONOFRIO Manager 330-727-4498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2020-02-24 |