| NPI | 1134447592 |
|---|---|
| Doing Business As | CRESTVIEW MANOR LAB |
| Entity Type | Organization |
| Authorized Contact | DAVID WALSH VP 419-999-2010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |