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Organization
SIGNATURE HEALTH INC.
Active
Organization
SIGNATURE HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INDRANI EGLESTON (CFO)
(440) 578-8200
Entity
Organization
Contact information
Practice address
53 S SAINT CLAIR ST, PAINESVILLE, OH 44077-3418
(440) 578-8200
Mailing address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 813-3341
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
NULL
293D00000X
Physiological Laboratory
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197471
—
OH
Enumeration date
08/30/2016
Last updated
10/14/2022
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