Western Reserve Masonic Community
Western Reserve Masonic Community is a Clinical Medical Laboratory in Medina, Ohio. Licensed in Ohio. Registered with an NPI since 2009.
- Licensed in
- OH
- In the registry since
- 2009
Practice location Address checks out
4931 Nettleton RdMedina, OH 44256-5353
Phone: (330) 721-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X · Licence 36D1002841 (OH) |
|---|
Record details
| NPI number | 1740515865 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Ohio Masonic Home |
| Authorized official | Jay Dettorre — President · (330) 721-3000 |
| Other names | Western Reserve Masonic Community - Laboratory |
| NPI enumerated | October 7, 2009 |
| Last updated in NPPES | October 7, 2009 |
| Mailing address | 4931 Nettleton Rd, Medina, OH 44256-5353 |
Other providers in Medina
-
Shcp, Medina, Inc
550 Miner Dr, Medina, OH 44256-1472 · (330) 725-1550