Organization
WESTSIDE PATHOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MACHEN M.D. (HEAD PHYSICIAN)
(440) 835-8000
Entity
Organization
Contact information
Practice address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5293
(440) 835-8000
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0849121
—
OH
01
—
220013808
RAILROAD MEDICARE
—
Enumeration date
01/25/2006
Last updated
10/31/2013
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