| NPI | 1285827121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANILE J MONCHER Treasurer 419-557-7537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OH 36D1071345) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |