Individual
MS. JAMIE WOODLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PBT(ASCP)
Contact information
Practice address
1736 SUPERIOR AVE E, CLEVELAND, OH 44114-2944
(440) 406-7736
Mailing address
2514 CEDAR AVE APT 169, CLEVELAND, OH 44115-4107
(440) 406-7736
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
67531
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5164.06
—
OH
Enumeration date
06/16/2021
Last updated
06/16/2021
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