| NPI | 1912167644 |
|---|---|
| Doing Business As | THE PAVILION CARE CENTER - LABORATORY |
| Entity Type | Organization |
| Authorized Contact | GARY WADE President/CEO 937-964-8974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OH 36D0718519) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |