Organization
LABORATORY MEDICINE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY DIEDERICHS MD (PRESIDENT)
(740) 368-5158
Entity
Organization
Contact information
Practice address
561 W CENTRAL AVE, DELAWARE, OH 43015-1410
(740) 369-8711
Mailing address
561 W CENTRAL AVE, DELAWARE, OH 43015-1410
(740) 369-8711
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0537655
—
OH
Enumeration date
03/31/2006
Last updated
08/22/2020
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