Organization
CHAMPION'S CLINICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONIE CHAMPION (OWNER/ PRESIDENT)
(216) 589-9447
Entity
Organization
Contact information
Practice address
1873 PROSPECT AVE E, CLEVELAND, OH 44115-2313
(216) 589-9447
(216) 589-9446
Mailing address
1873 PROSPECT AVE E, CLEVELAND, OH 44115-2313
(216) 589-9447
(216) 589-9446
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
03/20/2008
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