Organization
KAISER FOUNDATION HEALTH PLAN OF OHIO
Active
Organization
KAISER FOUNDATION HEALTH PLAN OF OHIO
Active
Other names
Cleveland Heights Lab
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG FAERBER (VP CFO)
(216) 479-5136
Entity
Organization
Contact information
Practice address
10 SEVERENCE CIRCLE, CLEVELAND HTS, OH 44118
(216) 265-8810
(216) 265-8890
Mailing address
12301 SNOW ROAD, PARMA, OH 44130
(216) 265-8810
(216) 265-8890
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211372
—
OH
Enumeration date
09/06/2006
Last updated
10/31/2012
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