36D2164409 CLIA NUMBER - SPIRIT MEDICAL TRANSPORT, LLC

Laboratory Demographics

CLIA Number: 36D2164409

Facility Name: SPIRIT MEDICAL TRANSPORT, LLC

Facility Address:
5484 STATE ROUTE 49 SOUTH
GREENVILLE, OH
ZIP 45331
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Facility Phone Number: 937 548-2800

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1326121104

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	36D2164409
LAB Type	Ambulance
Facility Name	SPIRIT MEDICAL TRANSPORT, LLC
Street	5484 STATE ROUTE 49 SOUTH
City	GREENVILLE
State	OH
ZIP	45331
Phone	937 548-2800
CertificateType	4
CertificateEffectiveDate	4/4/2023
CertificateExpirationDate	4/3/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024