Organization
CINCINNATI MED LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL FRANZOSA (OWNER)
(513) 702-2316
Entity
Organization
Contact information
Practice address
5437 DENGAIL DR, CINCINNATI, OH 45238-4704
(513) 702-2316
Mailing address
5437 DENGAIL DR, CINCINNATI, OH 45238-4704
(513) 702-2316
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000013336
ANTHEM
OH
05
—
0475785
—
OH
01
—
3500311
UHC
OH
Enumeration date
08/31/2006
Last updated
08/22/2020
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