Organization
CLEVELAND BIOLOGICALS INC.
Active
Other names
CBI Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO J MARKOVIC M.S. (PRESIDENT)
(216) 621-6322
Entity
Organization
Contact information
Practice address
2475 EAST 22ND STREET, SUITE 205, CLEVELAND, OH 44115
(216) 621-3622
(216) 621-3711
Mailing address
2475 EAST 22ND STREET, SUITE 205, CLEVELAND, OH 44115
(216) 621-3622
(216) 621-3711
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
36D065048
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0594969
—
OH
01
—
19655175
CAP NUMBER
OH
01
—
36D065048
CLIA LAB NUMBER
OH
Enumeration date
05/03/2007
Last updated
08/21/2013
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