Laserfiche WebLink
MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> ACILITY ID#: FA0020847 PIE: 4557 DATE: 05/10/2011 <br /> PROGRAM RECORD#: PR0536272 PIE: DATE: <br /> PIE: DATE: <br /> ADDRESS: 6150 OAKTREE BLVD 200 CITY: INDEPENDENCE <br /> FACILITY NAME (DBA): LIFE LINE MOBILE SCREENING <br /> ACILITY PHONE: (216) 581-6556 FACILITY FAX: <br /> FACILITY CONTACT: KEVIN DEWEESE PHONE: (216) 591-6556,EXT, 1960 <br /> DIRECTOR OF CLINICAL OPERATIONS <br /> OWNER NAME: LIFE LINE MOBILE SCREENING CITY: INDEPENDENCE <br /> WNER ADDRESS: 6150 OAKTREE BLVD 200 PHONE: (216) 581-6556 <br /> Water Service: Large PWS Small PWS Domestic Well <br /> Sewer Service: Public Sewer OnSite WWTX OnSite Septic System <br /> Stormwater: Street Drains Street Ditches OnSite Ponds qn Other <br /> 00 18 rev 05/2007 <br /> MWCS New Owner: Create a New Cover Sheet/Change Label of File <br />