Organization
REGIONAL LAB SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA WALDHEGER MD (PRESIDENT)
(440) 329-7620
Entity
Organization
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7620
Mailing address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7620
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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