Organization
KILBOURNE MEDICAL LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY SMOTHERMAN (BILLING MANAGER)
(513) 752-7300
Entity
Organization
Contact information
Practice address
665 OHIO PIKE, CINCINNATI, OH 45245-2117
(513) 752-7300
(513) 752-7601
Mailing address
665 OHIO PIKE, CINCINNATI, OH 45245-2117
(513) 752-7300
(513) 752-7601
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
36D0346978
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000272341
ANTHEM FEDERAL
OH
05
—
0592505
—
OH
05
—
200232160A
—
IN
01
—
3500134
UNITED HEALTHCARE
OH
05
—
37902368
—
KY
Enumeration date
05/31/2005
Last updated
06/04/2008
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