Organization
KETTERING REPRODUCTIVE LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXIM E RYGOVSKIY (PRESIDENT)
(330) 687-7975
Entity
Organization
Contact information
Practice address
3533 SOUTHERN BLVD, STE 4100, KETTERING, OH 45429-1264
(330) 687-7975
Mailing address
8210 MACEDONIA COMMONS BLVD, STE 68-105, MACEDONIA, OH 44056-1860
(330) 687-7975
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
36D0957636
OH
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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