Provider First Line Business Practice Location Address:
SOUTHWEST GENERAL HEALTH CENTER
Provider Second Line Business Practice Location Address:
18697 BAGLEY ROAD, LABORATORY SERVICES
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
440-826-0384
Provider Business Practice Location Address Fax Number:
440-826-1910
Provider Enumeration Date:
10/19/2007