NPI | 1205536695 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE A MARSHALL CFO 330-315-3708 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QC1500X Clinic/Center Community Health | |
261QH0100X Clinic/Center Health Service | |
Enumeration Date | 2023-03-06 |
Last Update Date | 2023-03-06 |