Organization
COMPUNET CLINICAL LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M MANIER (CFO)
(937) 297-8202
Entity
Organization
Contact information
Practice address
999 BRUBAKER DR STE 1, DAYTON, OH 45429-3556
(937) 293-4424
(937) 297-8229
Mailing address
2308 SANDRIDGE DR, MORAINE, OH 45439-1847
(937) 296-0844
(937) 297-8229
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
690002971
RAILROAD MEDICARE
OH
Enumeration date
01/03/2008
Last updated
03/17/2008
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