Organization · Type 2 NPI

Providence Medical Group

Clinical Medical Laboratory · Moraine, OH

NPI number 1760658371 Active

Practice location

2912 Springboro W, Suite 203
Moraine, OH 45439-1674

Fax (937) 298-9673

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000X016189 (OH)

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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About NPI 1760658371

Providence Medical Group's National Provider Identifier is 1760658371, issued on May 3, 2008. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Moraine, OH. The record was last updated on Nov 26, 2014.