Organization
PHLEBLAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE DENISE BLACKMON CEO (CEO)
(216) 832-6764
Entity
Organization
Contact information
Practice address
464 RICHMOND RD, RICHMOND HTS, OH 44143-2792
(216) 832-6764
Mailing address
1536 SAINT CLAIR AVE NE, CLEVELAND, OH 44114-2004
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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