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Organization

LAKEWOOD SENIOR HEALTH CAMPUS

Active
Parent organization
O'NEILL MANAGEMENT
Other names
Lakewood - Laboratory
Organization subpart
Yes

Provider details

NPI number
Legal business name
O'NEILL MANAGEMENT
Authorized official
MR. JOHN T. O'NEILL (MANAGING MEMBER)
(440) 327-9777
Entity
Organization

Contact information

Practice address
13900 DETROIT AVE, LAKEWOOD, OH 44107-4624
(216) 228-7650
Mailing address
13900 DETROIT AVE, LAKEWOOD, OH 44107-4624
(216) 228-7650

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
36D0336091
OH

Other

Enumeration date
11/11/2008
Last updated
11/11/2008
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