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Providence Medical Group
Clinical Medical Laboratory in Moraine, Ohio
NPI 1760658371

Providence Medical Group is a Clinical Medical Laboratory based in Moraine, OH. Providence Medical Group practices in Moraine, OH. The NPI Number for Providence Medical Group is 1760658371 and holds a License No. 016189 (Ohio).

The current practice location address for Providence Medical Group is 2912 Springboro W, Moraine, OH and can be reached out via phone at 937-297-8999 and via fax at 937-298-9673.

Location: 2912 Springboro W, Moraine, OH, 45439-1674
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760658371
Provider Name
Providence Medical Group
Credential
Provider Entity Type
Organization
Address
2912 Springboro W, Moraine, OH, 45439-1674
Phone Number
937-297-8999
Fax Number
937-298-9673
Provider Enumeration Date
05/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2380294 05 OH
institution
Provider Business Practice Location Address Details
Address
2912 Springboro W
City
Moraine
State
Ohio
Zip
45439-1674
Phone Number
937-297-8999
Fax Number
937-298-9673
person
Provider Business Mailing Address Details
Address
2912 Springboro W
City
Moraine
State
Ohio
Zip
45439-1674
Phone Number
937-297-8999
Fax Number
937-298-9673
person
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
016189 (Ohio)
Definition
(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.
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