Philip Edwin Bomeisl III, D.O.
Pathology, Blood Banking & Transfusion Medicine in Cleveland, OH. Individual provider (NPI-1).
NPI number1962618975
StatusActive
Last updated in NPPESMar 12, 2019
Details
- NPI
- 1962618975
- Entity type
- Individual (NPI-1)
- Name
- Philip Edwin Bomeisl III
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2007
- Last updated
- Mar 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZB0001X | Pathology, Blood Banking & Transfusion Medicine | 34009118 | OH | Yes |
| 207ZC0006X | Pathology, Clinical Pathology | 34009118 | OH | |
| 207ZC0500X | Pathology, Cytopathology | 34009118 | OH | |
| 207ZD0900X | Pathology, Dermatopathology | 34009118 | OH | |
| 207ZF0201X | Pathology, Forensic Pathology | 34009118 | OH | |
| 207ZH0000X | Pathology, Hematology | 34009118 | OH | |
| 207ZI0100X | Pathology, Immunopathology | 34009118 | OH | |
| 207ZM0300X | Pathology, Medical Microbiology | 34009118 | OH | |
| 207ZN0500X | Pathology, Neuropathology | 34009118 | OH | |
| 207ZP0007X | Pathology, Molecular Genetic Pathology | 34009118 | OH | |
| 207ZP0101X | Pathology, Anatomic Pathology | 34-009118 | OH | |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 34009118 | OH | |
| 207ZP0104X | Pathology, Chemical Pathology | 34009118 | OH | |
| 207ZP0105X | Pathology, Clinical Pathology/Laboratory Medicine | 34009118 | OH | |
| 207ZP0213X | Pathology, Pediatric Pathology | 34009118 | OH |
Practice location
11100 Euclid AveDepartment Of Pathology
Cleveland, OH 44106-1716
Phone 216-844-1000
Mailing address
24701 Euclid Ave3rd Floor
Euclid, OH 44117-1714
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