36D0957694 CLIA NUMBER - MEDPRO GROUP

Laboratory Demographics

CLIA Number: 36D0957694

Facility Name: MEDPRO GROUP

Facility Address:
2201 BENDEN DRIVE
WOOSTER, OH
ZIP 44691
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Facility Phone Number: (330) 263-7270

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1003209347

Taxonomy: 261QX0100X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 36D0957694
LAB Type PHYSICIAN OFFICE
Facility Name MEDPRO GROUP
Street 2201 BENDEN DRIVE
City WOOSTER
State OH
ZIP 44691
Phone (330) 263-7270

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This page was last updated on: 5/11/2023