Advanced Dermatology and Skin Cancer Center

Organization Active NPI Clinical Medical Laboratory · Boardman, OH

NPI 1710274014 · NPPES record last updated Oct 20, 2011

Key facts

NPI
1710274014
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
Legal business name
ADVANCED DERMATOLOGY AND SKIN CANCER CENTER
Practice address
987 Boardman Canfield Rd
Boardman, OH 44512-4222
Phone
(330) 965-8760
Fax
(330) 965-9325
NPI assigned
Jul 7, 2011
Organization subpart
No

Authorized official

Name
Mrs. Vicki Groner
Title
Billing Manager
Phone
(330) 965-8760

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Yes

Addresses

Primary practice location

987 Boardman Canfield Rd
Boardman, OH 44512-4222

Mailing address

987 Boardman Canfield Rd
Boardman, OH 44512-4222
Phone (330) 965-8760

Other providers in Boardman, OH

All providers in Boardman, OH · Clinical Medical Laboratory in Ohio

Sources for this page

Verify at the official NPI Registry.