Organization
CORNERSTONE PROJECT
Active
Organization
CORNERSTONE PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN DEAN (ADMIN)
(614) 762-5206
Entity
Organization
Contact information
Practice address
4124 LINDEN AVE STE 100, DAYTON, OH 45432-3018
(937) 522-0961
Mailing address
4124 LINDEN AVE STE 100, DAYTON, OH 45432-3018
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36D2058764
CLIA
—
Enumeration date
01/26/2018
Last updated
01/26/2018
Update your record
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