Whalio Doctors

NPI 1033528948

Fairway Management, LLC

Organisation Clinical Medical Laboratory Manlius, NY

Practice location

Address
240 W Seneca St Suite 8, Manlius, NY 13104-3401
Phone
(315) 682-0328
Fax
(315) 682-0295

Authorised official

Name
Robert Eugene Bailey
Title
Medical Director
Phone
(315) 682-0325

Registered specialties

Clinical Medical Laboratory Primary
Laboratories Taxonomy 291U00000X Licence 33D2071872 (NY)

Registry record

NPI
1033528948
Entity type
Organization
NPI issued
5 Aug 2014
Record last updated
5 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.