WESTERN RESERVE MASONIC COMMUNITY - LABORATORY
NPI 1740515865
Clinical Medical Laboratory in Medina, OH

Active since October 07, 2009
4931 NETTLETON RD, MEDINA, OH 44256(330) 721-3000 Get Directions Write a Review

NPPES record last updated: October 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Western Reserve Masonic Community - Laboratory NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN RESERVE MASONIC COMMUNITY - LABORATORY (NPI 1740515865) is a healthcare organization registered as a clinical medical laboratory in Medina, Ohio and active in the NPI registry since October 2009. The organization lists Jay Dettorre, President, as its authorized official.

NPPES Registry Identity

NPI1740515865
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameWESTERN RESERVE MASONIC COMMUNITY
Location Address4931 NETTLETON RDMedina, OH 44256-5353
Mailing Address4931 Nettleton RdMedina, OH 44256-5353 · (330) 721-3000
Organization SubpartYesParent: Ohio Masonic Home
Authorized OfficialJay DettorrePresident · (330) 721-3000
Enumeration DateOctober 7, 2009
NPI 1740515865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in OH · 36D1002841
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
4931 NETTLETON RD, Medina, OH 44256

Other Names 1

Doing Business AsWestern Reserve Masonic Community - Laboratory

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
4931 NETTLETON RD
MEDINA, OH 44256
Speech-Language Pathologist
4931 NETTLETON RD
MEDINA, OH 44256
Occupational Therapist
4931 NETTLETON RD
MEDINA, OH 44256
Occupational Therapist
4931 NETTLETON RD
MEDINA, OH 44256
Physical Therapist
4931 NETTLETON RD
MEDINA, OH 44256
Speech-Language Pathologist
4931 NETTLETON RD
MEDINA, OH 44256

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Western Reserve Masonic Community's NPI number?

The NPI number for Western Reserve Masonic Community is 1740515865. It was assigned to this organization in the NPPES registry on October 7, 2009. The provider is doing business as Western Reserve Masonic Community - Laboratory.

Where is Western Reserve Masonic Community located?

Western Reserve Masonic Community is located at 4931 Nettleton Rd, Medina, OH 44256. The listed phone number is (330) 721-3000.

What is Western Reserve Masonic Community's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Western Reserve Masonic Community was last updated on October 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.