Organization
WGT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA HANNIBAL (OWNER)
(440) 541-3353
Entity
Organization
Contact information
Practice address
815 SUPERIOR AVE E STE 1618, CLEVELAND, OH 44114-2709
(866) 238-8230
Mailing address
815 SUPERIOR AVE E STE 1618, CLEVELAND, OH 44114-2709
(866) 238-8230
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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