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Organization
CONSULTANTS IN LABORATORY MEDICINE OF GREATER TOLEDO
Active
Organization
CONSULTANTS IN LABORATORY MEDICINE OF GREATER TOLEDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C. GRATTENDICK (VICE PRESIDENT)
(561) 626-5512
Entity
Organization
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 534-3500
(419) 534-2608
Mailing address
11025 RCA CENTER DRIVE, SUITE 300, PALM BEACH GARDENS, FL 33410-4269
(561) 626-5512
(561) 626-4530
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0738474
—
OH
05
—
2574815
—
MI
Enumeration date
03/16/2006
Last updated
05/12/2016
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