| NPI | 1184880577 |
|---|---|
| Doing Business As | PARKSIDE VILLA - LABORATORY |
| Entity Type | Organization |
| Authorized Contact | BRUCE DASKAL Owner 440-260-7626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OH 36D0991700) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |