Organization
3 G OPERATING COMPANY, LLC
Active
Other names
Wickliffe Country - Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE DASKAL (OWNER)
(216) 898-8399
Entity
Organization
Contact information
Practice address
1919 BISHOP RD, WICKLIFFE, OH 44092-2518
(440) 944-9400
Mailing address
1919 BISHOP RD, WICKLIFFE, OH 44092-2518
(440) 944-9400
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
36D0334890
OH
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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