Organization
OHIO RIVER LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITALI SHAH (OWNER)
(832) 541-7363
Entity
Organization
Contact information
Practice address
OHIO RIVER LABORATORIES, LLC, 1841 MASON MONTGOMERY RD, UNIT 1C, CINCINNATI, OH 45249
(832) 541-7363
(888) 409-5754
Mailing address
OHIO RIVER LABORATORIES, LLC, 6776 SOUTHWEST FREEWAY STE 610, HOUSTON, TX 77074
(281) 617-7586
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
36D2050451
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36D2050451
CLIA
OH
Enumeration date
12/13/2012
Last updated
03/27/2020
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