Organization
JOHNSON LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATINA EILEEN BEITZEL (OWNER MANAGING SUPERVISOR)
(740) 622-3971
Entity
Organization
Contact information
Practice address
660 MAIN STREET, COSHOCTON, OH 43812
(740) 622-3971
(740) 622-5150
Mailing address
660 MAIN STREET, COSHOCTON, OH 43812
(740) 622-3971
(740) 622-5150
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4425812
—
OH
Enumeration date
11/20/2006
Last updated
08/22/2020
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