Provider Demographics
NPI:1790973246
Name:FERTILITY UNLIMITED, INC
Entity Type:Organization
Organization Name:FERTILITY UNLIMITED, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMBRYOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:AURTHUR
Authorized Official - Last Name:KONTIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-376-2300
Mailing Address - Street 1:468 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1594
Mailing Address - Country:US
Mailing Address - Phone:330-376-2300
Mailing Address - Fax:330-376-4807
Practice Address - Street 1:468 E MARKET ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1594
Practice Address - Country:US
Practice Address - Phone:330-376-2300
Practice Address - Fax:330-376-4807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory