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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