Organization
SKIN PATHOLOGY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT T BRODELL MD (LABORATORY DIRECTOR/PRESIDENT)
(330) 393-4003
Entity
Organization
Contact information
Practice address
2660 E MARKET ST, WARREN, OH 44483-6204
(330) 393-4003
(330) 393-0074
Mailing address
2660 E MARKET ST, WARREN, OH 44483-6204
(330) 393-4003
(330) 393-0074
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
36D0656150
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0602922
—
OH
Enumeration date
09/13/2005
Last updated
03/01/2012
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