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NPI Code Detail

MEDICARE: UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION

MEDICARE: UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory36D0667996OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578706438
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION
Provider Business Mailing Address
First Line : PO BOX 772930
Second Line :
City : DETROIT
State : MI
Zip : 48277-2930
Country : US
Telephone Number : 216-844-5678
Fax Number :
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line : PATH 5077
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-844-5678
Fax Number :
Authorized Official
Title or Position : DIRECTOR, FP&A
Name : ANTHONY SCHILLERO
Credential :
Telephone Number : 216-767-8141
Provider Enumeration Date : 04/08/2009
Last Update Date : 04/29/2024

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Directions to “UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION ” Practice Location

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