Elyria Cardiac Cath Lab, LLC

NPI #1659304582 in Elyria, Ohio

Provider Information

NPI Number
1659304582
Entity Type
Organization
Organization Name
Elyria Cardiac Cath Lab, LLC
Primary Specialty
Physiological Laboratory
Enumeration Date
Jul 7, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
630 E RIVER ST
Address 2
4TH FLOOR
City
Elyria
State
Ohio
ZIP Code
44035-5902
Phone
(440) 329-4900

Authorized Official

Name
MS. HEATHER Q CASSIDY-DRAIN, RN
Title
CLINICAL OPERATIONS MANAGER
Phone
(440) 329-4910

Specialties & Taxonomy Codes

Specialty
Physiological Laboratory

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