| NPI | 1497912893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI GRONER Billing Manager 330-965-8760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OH 35074029) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |