Organization
KAISER FOUNDATION HEALTH PLAN
Active
Other names
Chapel Hill Medical Offices Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS REVIS (VP CFO)
(216) 265-8844
Entity
Organization
Contact information
Practice address
1260 INDEPENDENCE AVE, AKRON, OH 44310
(216) 265-8844
(216) 265-8890
Mailing address
12301 SNOW ROAD, PARMA, OH 44130
(216) 265-8844
(216) 265-8890
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211372
—
OH
Enumeration date
11/27/2006
Last updated
08/22/2020
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