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Organization

HOLMES DIAGNOSTIC LABORATORY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM B YERSE MLT ASCP (LAB SUPERVISOR)
(330) 674-6850
Entity
Organization

Contact information

Practice address
1245 GLEN DRIVE, SUITE A, MILLERSBURG, OH 44654
(330) 674-6850
(866) 947-0048
Mailing address
1245 GLEN DRIVE, SUITE A, MILLERSBURG, OH 44654
(330) 674-6850
(866) 947-0048

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000155845
ANTHEM
05
0121960
OH
Enumeration date
11/14/2006
Last updated
08/22/2020
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