Organization
BETHESDA HOSPITAL INC
Active
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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