Provider Type Icon

INTERVENTIONAL PATHOLOGY OF OHIO LLC NPI 1063870699


NPI Information

NPI: 1063870699
Provider Name: INTERVENTIONAL PATHOLOGY OF OHIO LLC
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 36D2109272

Address:
580 LINCOLN PARK BLVD
344
KETTERING, OH
ZIP 45429
Phone: (937) 825-0274
Get Directions

INTERVENTIONAL PATHOLOGY OF OHIO LLC is an anatomic pathology and clinical pathology pathology in Kettering, OH. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. INTERVENTIONAL PATHOLOGY OF OHIO LLC NPI is 1063870699. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

580 LINCOLN PARK BLVD
344
KETTERING, OH
ZIP 45429-474
Phone: (937) 825-0274

The provider's authorized official is Benjamin Mccalip .
The authorized official title is Owner and has the following contact phone number (937) 825-0274.

The CLIA number assigned to this NPI record is 36D2109272 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/10/2016 and was last updated on 2/10/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology35.089844OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12775804MEDICAIDOHIO

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.