| NPI | 1710211149 |
|---|---|
| Doing Business As | SPRINGFIELD MASONIC COMMUNITY - LABORATORY |
| Entity Type | Organization |
| Authorized Contact | MARION LEEMAN President 937-525-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OH 36D0917924) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-04 |