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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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