Western Reserve Masonic Community - Laboratory – Clinical Medical Laboratory, NPI 1740515865

Western Reserve Masonic Community - Laboratory is a healthcare provider. based in Medina, Ohio. specializing in Clinical Medical Laboratory. The organization holds a License No. 36D1002841 (OH). The NPI Number for Western Reserve Masonic Community - Laboratory is 1740515865

Main info

Organization
Name
Western Reserve Masonic Community - Laboratory
NPI
1740515865
Phone
(330) 721-3000
Address
4931 NETTLETON RD
Authorized Official
MR. JAY DETTORRE PRESIDENT
Enumeration Date
7 October 2009
Last Update Date
7 October 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness80
Years active:16State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Western Reserve Masonic Community - Laboratory

  • 4931, Nettleton Road, Medina Township, Medina County, Ohio, 44256, United States

    MEDINA, OH 442565353

    Phone: (330) 721-3000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44256)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Western Reserve Masonic Community - Laboratory?
Western Reserve Masonic Community - Laboratory — NPI 1740515865 — is the standard way to identify this listing.
Is Western Reserve Masonic Community - Laboratory still practicing?
Western Reserve Masonic Community - Laboratory is currently listed as active in the public NPI registry.
What is Western Reserve Masonic Community - Laboratory's specialty?
The listing groups Western Reserve Masonic Community - Laboratory with Clinical Medical Laboratory. Clinical services aligned with this taxonomy classification.
What address line appears for Western Reserve Masonic Community - Laboratory?
Western Reserve Masonic Community - Laboratory's geographic hint is Medina, Ohio in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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