36D0918256 CLIA NUMBER - NORTHERN OHIO MEDICAL SPECIALISTS, LLC

Laboratory Demographics

CLIA Number: 36D0918256

Facility Name: NORTHERN OHIO MEDICAL SPECIALISTS, LLC

Facility Address:
200 GARFIELD DRIVE, NE, SUITE 1
WARREN, OH
ZIP 44483
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Facility Phone Number: 330 372-1828

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1861587321

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	36D0918256
LAB Type	Physician Office
Facility Name	NORTHERN OHIO MEDICAL SPECIALISTS, LLC
Street	200 GARFIELD DRIVE, NE, SUITE 1
City	WARREN
State	OH
ZIP	44483
Phone	330 372-1828
CertificateType	3
CertificateEffectiveDate	3/10/2024
CertificateExpirationDate	3/9/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024