| NPI | 1831350610 |
|---|---|
| Doing Business As | CRESTMONT NORTH - LABORATORY |
| Entity Type | Organization |
| Authorized Contact | NORMAN A. FOX Secretary / Treasurer 440-617-2103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OH 36D0929858) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |