Organization
CYTOLOGY ASSOCIATES OF DAYTON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA R. BALAJ MD (PARTNER)
(937) 224-9326
Entity
Organization
Contact information
Practice address
11 S MAIN ST, DAYTON, OH 45402-2024
(937) 224-9325
(937) 224-1010
Mailing address
PO BOX 20452, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
36D0349341
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0386952
—
OH
01
—
CI0038
RR MEDICARE
OH
Enumeration date
08/25/2005
Last updated
03/05/2013
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