Organization
CLECORE LAB & SCREENINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WILSON PN161964 (DIRECTOR)
(216) 324-2161
Entity
Organization
Contact information
Practice address
3247 E OVERLOOK RD, CLEVELAND HEIGHTS, OH 44118-2143
(216) 324-2161
Mailing address
3247 E OVERLOOK RD, CLEVELAND HEIGHTS, OH 44118-2143
(216) 324-2161
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
291900000X
Military Clinical Medical Laboratory
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
03/01/2022
Last updated
03/03/2022
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