Organization
OHIO PERMANENTE MEDICAL GROUP
Active
Organization
OHIO PERMANENTE MEDICAL GROUP
Active
Other names
Kaiser Permanente
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS REVIS (VP CFO)
(216) 265-8844
Entity
Organization
Contact information
Practice address
1260 INDEPENDENCE AVE, AKRON, OH 44310
(216) 265-8844
(216) 265-8890
Mailing address
12301 SNOW ROAD, PARMA, OH 44130
(216) 265-8844
(216) 265-8890
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211372
—
OH
Enumeration date
11/27/2006
Last updated
10/12/2007
Update your record
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