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MIAMI VALLEY CCK LABORATORY NPI 1467774695


NPI Information

NPI: 1467774695
Provider Name: MIAMI VALLEY CCK LABORATORY
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 36D1071098

Address:
6818 LOOP RD
CENTERVILLE, OH
ZIP 45459
Phone: (937) 478-2011
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MIAMI VALLEY CCK LABORATORY is a clinical medical laboratory in Centerville, OH. The provider is (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 determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. MIAMI VALLEY CCK LABORATORY NPI is 1467774695. The provider is registered as an organization entity type.

The provider's business location address is:

6818 LOOP RD
CENTERVILLE, OH
ZIP 45459-159
Phone: (937) 478-2011

The provider's authorized official is Willard A Yarema .
The authorized official title is Sole Owner and has the following contact phone number (937) 478-2011.

The CLIA number assigned to this NPI record is 36D1071098 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/15/2010 and was last updated on 2/15/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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