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Organization

PHENOMENAL SUCCESS

Active
Other names
Phenomenal Success
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CRYSTAL SIMMONS (OWNER)
(513) 795-4489
Entity
Organization

Contact information

Practice address
11306 LINCOLNSHIRE DR, CINCINNATI, OH 45240-2339
(513) 795-4489
Mailing address
11306 LINCOLNSHIRE DR, CINCINNATI, OH 45240-2339
(513) 795-4489

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
06/16/2025
Last updated
06/16/2025
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