Individual
PHILIP EDWIN BOMEISL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11100 EUCLID AVE, DEPARTMENT OF PATHOLOGY, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
34009118
OH
207ZC0006X
Clinical Pathology Physician
34009118
OH
207ZC0500X
Cytopathology Physician
34009118
OH
207ZD0900X
Dermatopathology (Pathology) Physician
34009118
OH
207ZF0201X
Forensic Pathology Physician
34009118
OH
207ZH0000X
Hematology (Pathology) Physician
34009118
OH
207ZI0100X
Immunopathology Physician
34009118
OH
207ZM0300X
Medical Microbiology Physician
34009118
OH
207ZN0500X
Neuropathology Physician
34009118
OH
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
34009118
OH
207ZP0101X
Anatomic Pathology Physician
34-009118
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
34009118
OH
207ZP0104X
Chemical Pathology Physician
34009118
OH
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
34009118
OH
207ZP0213X
Pediatric Pathology Physician
34009118
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2978372
—
OH
Enumeration date
05/15/2007
Last updated
03/12/2019
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