| NPI | 1528147352 |
|---|---|
| Former Legal Business Name | ADVANCED DERMATOLOGY AND SKIN CANCER CENTER LLC |
| 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 | 2006-11-03 |
| Last Update Date | 2024-01-11 |