NPI 1689077125

Self-Employed

Organisation Physiological Laboratory Painesville, OH

Practice location

Address: 95b Barley Dr, Painesville, OH 44077-5349
Phone: (440) 251-9701

Authorised official

Name: Delmesha Jackson
Title: Stna
Phone: (440) 251-9701

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X Licence 47 (OH)

Other Physiological Laboratory providers in Ohio →

Registry record

NPI: 1689077125
Entity type: Organization
NPI issued: 29 Sep 2014
Record last updated: 29 Sep 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.