Organization
MEDINA PATHOLOGY ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAIL JAIN M.D. (PRESIDENT)
(330) 723-0277
Entity
Organization
Contact information
Practice address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(330) 725-1000
Mailing address
970 E WASHINGTON ST, SUITE 2E, MEDINA, OH 44256-3332
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0860804
—
OH
Enumeration date
10/17/2007
Last updated
10/17/2007
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