Organization
HEALTHSOURCE OF OHIO INC
Active
Organization
HEALTHSOURCE OF OHIO INC
Active
Other names
HealthSource PCR Lab
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH W. PRATHER II MD (CEO)
(513) 707-4041
Entity
Organization
Contact information
Practice address
424 WARDS CORNER RD STE 110, LOVELAND, OH 45140-6943
(513) 576-5024
(513) 576-5025
Mailing address
424 WARDS CORNER RD STE 200, LOVELAND, OH 45140-6966
(513) 576-7700
(513) 576-1020
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
04/22/2026
Last updated
06/01/2026
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