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Organization

BETHESDA HOSPITAL INC

Active
Other names
BETHESDA LABORATORY SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN KRAUSE (VICE PRESIDENT)
(513) 569-5126
Entity
Organization

Contact information

Practice address
10500 MONTGOMERY RD, CINCINNATI, OH 45242
(513) 569-6518
(513) 569-6513
Mailing address
10500 MONTGOMERY RD, CINCINNATI, OH 45242-4402
(513) 569-6518
(513) 569-6513

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
36D345875
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000282620
ANTHEM
OH
01
4466863
AETNA
OH
Enumeration date
03/28/2006
Last updated
06/22/2018
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