Organization
SPRINGFIELD MASONIC COMMUNITY
Active
Organization
SPRINGFIELD MASONIC COMMUNITY
Active
Parent organization
OHIO MASONIC HOME
Other names
Springfield Masonic Community - Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
OHIO MASONIC HOME
Authorized official
MS. MARION LEEMAN (PRESIDENT)
(937) 525-3000
Entity
Organization
Contact information
Practice address
3 MASONIC DR, SPRINGFIELD, OH 45504-3658
(937) 525-3000
Mailing address
3 MASONIC DR, SPRINGFIELD, OH 45504-3658
(937) 525-3000
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
36D0917924
OH
Other
Enumeration date
10/02/2009
Last updated
10/04/2009
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