| NPI | 1346285988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY W HUSSONG President 419-255-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OH 36D0331864) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-01-15 |