Organization
ADCARE HEALTH SYSTEMS, INC.
Active
Other names
The Pavilion Care Center - Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
GARY WADE (PRESIDENT/CEO)
(937) 964-8974
Entity
Organization
Contact information
Practice address
705 FULTON ST, SIDNEY, OH 45365-3203
(937) 492-9591
Mailing address
705 FULTON ST, SIDNEY, OH 45365-3203
(937) 492-9591
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
36D0718519
OH
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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