Organization
BAYLESS PATHMARK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YILAN CHANG (PRESIDENT)
(440) 826-0384
Entity
Organization
Contact information
Practice address
1400 W MAIN ST, BELLEVUE, OH 44811-9088
(419) 483-4040
(419) 484-5415
Mailing address
19250 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3347
(440) 826-0384
(440) 826-4018
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
OH
Other
Enumeration date
07/07/2014
Last updated
01/13/2019
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