Dermatopathology Laboratory Of Central States

LBN: Dermatopathology Laboratory Of Central States
Dermatopathology Laboratory Of Central States is an health care organization with primary practice located at 7835 Paragon Rd , Dayton OH 45459. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Dermatopathology Laboratory Of Central States can be contacted via phone (937) 434-2351, or through Olsen, Thomas G. via phone (937) 434-2351.

Contact Information

Primary practice address
7835 Paragon Rd Dayton OH 45459
Fax: (937) 434-1381
Website:
Authorized official contact:
Name: Olsen, Thomas G. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1912914144
LBN Legal business name Dermatopathology Laboratory Of Central States
DBA Doing business as
Authorized official Olsen, Thomas G. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated Aug 30th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912914144 NPPES
Ohio MEDICAID 0222614

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