Organization
ADCARE HEALTH SYSTEMS INC
Active
Other names
Covington Care Center - Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY WADE (PRESIDENT/CEO)
(937) 964-8974
Entity
Organization
Contact information
Practice address
75 MOTE DR, COVINGTON, OH 45318-1245
(937) 473-2075
Mailing address
75 MOTE DR, COVINGTON, OH 45318-1245
(937) 473-2075
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
36D0717106
OH
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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