Organization
SUBURBAN MEDICAL LABORATORY, INC.
Active
Organization
SUBURBAN MEDICAL LABORATORY, INC.
Active
Other names
Medlab
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY SMOTHERMAN (DIRECTOR, BILLING)
(513) 201-1117
Entity
Organization
Contact information
Practice address
3575 FOREST LAKE DR, #500, UNIONTOWN, OH 44685
(330) 628-7500
(300) 628-7599
Mailing address
3575 FOREST LAKE DR, #500, UNIONTOWN, OH 44685
(330) 628-7500
(300) 628-7599
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
36D0339673
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0288004
—
OH
01
—
36D0339673
CLIA
OH
Enumeration date
03/11/2006
Last updated
10/15/2009
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