Organization
DAYTON CHILDREN'S HOSPITAL
Active
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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