Organization
NWO INTEGRATED LABORATORIES MERCY LLC
Active
Other names
NWO Integrated Laboratories, Mercy Integrated Lab
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M RALSTON (VP REIMBURSEMENT)
(419) 996-5119
Entity
Organization
Contact information
Practice address
2222 CHERRY ST, TOLEDO, OH 43608-2673
(419) 251-8600
Mailing address
PO BOX 636486, CINCINNATI, OH 45263-6486
(419) 251-8600
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000189063
ANTHEM
OH
01
—
1017010001
WELLNESS PLAN
MI
05
—
2154529
—
OH
05
—
5172616
—
MI
01
—
690008893
RR MEDICARE
OH
Enumeration date
06/20/2006
Last updated
05/12/2025
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