Provider Demographics
NPI:1295007011
Name:UNIVERSITY HOSPITALS LABORATORY SERVICE FOUNDATION DBA: UNIVERSITY HOS
Entity Type:Organization
Organization Name:UNIVERSITY HOSPITALS LABORATORY SERVICE FOUNDATION DBA: UNIVERSITY HOS
Other - Org Name:UNIVERSITY HOSPITAL TRANSLATIONAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, FP&A
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHILLERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-767-8141
Mailing Address - Street 1:PO BOX 772930
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48277-2930
Mailing Address - Country:US
Mailing Address - Phone:216-844-5678
Mailing Address - Fax:216-844-1000
Practice Address - Street 1:7100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103
Practice Address - Country:US
Practice Address - Phone:216-844-5678
Practice Address - Fax:216-844-1800
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION DBA: UNIVERSITY HO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-09
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36D2033374291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
36D2033374OtherCLIA