PROVIDENCE MEDICAL GROUP is a clinical medical laboratory in Moraine, 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. PROVIDENCE MEDICAL GROUP NPI is 1760658371. The provider is registered as an organization entity type.
The provider Is Doing Business As Pmg Lab.
The provider's business location address is:
2912 SPRINGBORO W
SUITE 203
MORAINE, OH
ZIP 45439-674
Phone: (937) 297-8999
Fax: (937) 298-9673
The provider's authorized official is Shirley A Pfeiffer .
The authorized official title is Credentialing Coordinator and has the following contact phone number (937) 297-8999.
The CLIA number assigned to this NPI record is 36D1017593 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/3/2008 and was last updated on 11/26/2014.