Provider First Line Business Practice Location Address:
1044 BELMONT AVE.
Provider Second Line Business Practice Location Address:
PATHOLOGY CONSULTANTS-CREDENTIALING
Provider Business Practice Location Address City Name:
YOUNGSTOWN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44501-1790
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-480-3768
Provider Business Practice Location Address Fax Number:
330-480-2062
Provider Enumeration Date:
02/01/2006