Provider First Line Business Practice Location Address: 
231 ALBERT SABIN WAY
    Provider Second Line Business Practice Location Address: 
DEPARTMENT OF PATHOLOGY
    Provider Business Practice Location Address City Name: 
CINCINNATI
    Provider Business Practice Location Address State Name: 
OH
    Provider Business Practice Location Address Postal Code: 
45267-0001
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
513-558-4500
    Provider Business Practice Location Address Fax Number: 
513-558-2289
    Provider Enumeration Date: 
07/24/2006