Organization
COMPUNET CLINICAL LABORATORIES LLC
Active
Organization
COMPUNET CLINICAL LABORATORIES LLC
Active
Other names
CompuNet Clinical Laboratories LTD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M MANIER (CFO/VP FINANCE)
(937) 297-8202
Entity
Organization
Contact information
Practice address
1888 W MAIN ST, TROY, OH 45373-2304
(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
36D0348736
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2476860
—
OH
01
—
690002971
RAILROAD MEDICARE
OH
01
—
690002971
RAILROAD MEDICARE PROVIDER NUMBER
—
Enumeration date
06/20/2005
Last updated
10/09/2009
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