Organization
COMPUNET CLINICAL LABORATORIES LLC
Active
Other names
CompuNet Clinical Labortories LTD
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA M WILLIAMS (PRESIDENT)
(937) 297-8228
Entity
Organization
Contact information
Practice address
2308 SANDRIDGE DR, MORAINE, OH 45439-1847
(937) 296-0844
(937) 297-8232
Mailing address
2308 SANDRIDGE DR, MORAINE, OH 45439-1847
(937) 296-0844
(937) 297-8232
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
36D0350049
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000013050
ANTHEM BC/BS
OH
01
—
0654619
AETNA
OH
05
—
0658515
—
OH
01
—
690002971
RAILROAD MEDICARE
OH
Enumeration date
06/20/2005
Last updated
01/09/2026
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