Organization
DIAGNOSTIC LABORATORY PRACTICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOURI ROBERTS (BILLING CONSULTANT)
(706) 546-0200
Entity
Organization
Contact information
Practice address
2322 E 22ND ST, SUITE 200, CLEVELAND, OH 44115-3176
(216) 861-6200
Mailing address
PO BOX 72090, CLEVELAND, OH 44192-0002
(800) 288-8325
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2156536
—
OH
Enumeration date
12/13/2005
Last updated
11/19/2009
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