WESTERN RESERVE MASONIC COMMUNITY - LABORATORY
NPI 1740515865
Clinical Medical Laboratory in Medina, OH
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
Specialties & Licenses
Other Names 1
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.
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.