Organization
DAYTON CHILDREN'S HOSPITAL
Active
Other names
Dayton Children's Hospital Reference Lab
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS BERGMAN (C.F.O.)
(937) 641-3338
Entity
Organization
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1873
(937) 641-3000
(937) 641-3326
Mailing address
1 CHILDRENS PLZ, DAYTON, OH 45404-1873
(937) 641-3000
(937) 641-5403
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
—
OH
291U00000X
Clinical Medical Laboratory
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0465509
—
OH
01
—
363306
MEDICARE
—
Enumeration date
06/29/2017
Last updated
05/10/2019
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