Western Reserve Masonic Community
NPI #1740515865 in Medina, Ohio
Provider Information
- NPI Number
- 1740515865
- Entity Type
- Organization
- Organization Name
- Western Reserve Masonic Community
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- OHIO MASONIC HOME
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Oct 7, 2009
- Last Updated
- Oct 7, 2009
Practice Location
Authorized Official
- Name
- MR. JAY DETTORRE
- Title
- PRESIDENT
- Phone
- (330) 721-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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