Organization
CENTER FOR MOLECULAR CANCER DIAGNOSTICS, INC
Active
Other names
Core Bio Labs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YUAN SHAN M.D. (MEDICAL DIRECTOR)
(317) 695-8485
Entity
Organization
Contact information
Practice address
7956 TYLER BLVD, MENTOR, OH 44060-4806
(330) 405-2623
Mailing address
7956 TYLER BLVD, MENTOR, OH 44060-4806
(330) 405-2623
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
36D2061372
OH
Other
Enumeration date
12/10/2013
Last updated
05/26/2023
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