Independent Lab Services

NPI #1114329109 in Youngstown, Ohio

Provider Information

NPI Number
1114329109
Entity Type
Organization
Organization Name
Independent Lab Services
Subpart
Yes (part of a larger organization)
Parent Organization
ADO HEALTH SERVICES INC.
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Sep 22, 2014
Last Updated
Jan 27, 2017

Practice Location

Address
590 E WESTERN RESERVE RD
Address 2
BUILDING 5
State
Ohio
ZIP Code
44514-3354
Phone
(330) 403-8034

Authorized Official

Name
NICOLE KENDRA-TOWNSEND, CCS
Title
CREDENTIALING SPECIALIST
Phone
(330) 629-2888

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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