Organization
CONNIE PARKS
Active
Other names
Bio Medical Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN ZOCCO (VICE PRESIDENT)
(330) 759-8334
Entity
Organization
Contact information
Practice address
4504 LOGAN WAY, HUBBARD, OH 44425-3345
(330) 759-8334
(330) 759-0780
Mailing address
4504 LOGAN WAY, HUBBARD, OH 44425-3345
(330) 759-8334
(330) 759-0780
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450266
—
OH
Enumeration date
05/09/2007
Last updated
03/05/2013
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