Organization
COMPLETE LAB & DRUG TEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAIL A HASSAN MLT(ASCP) (CEO, CO-FOUNDER)
(614) 269-7612
Entity
Organization
Contact information
Practice address
4661 CLEVELAND AVE BLDG A, COLUMBUS, OH 43231-5848
(614) 269-7612
(614) 319-5050
Mailing address
PO BOX 247824, COLUMBUS, OH 43224-7824
(614) 596-7808
(614) 319-5050
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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