Active NPI
Lab One of Ohio Inc
- Clinical Medical Laboratory
- Mansfield, OH
National Provider Identifier
1023306263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LAB ONE OF OHIO INC
- Practice address
- 770 Balgreen Dr
Mansfield, OH 44906-4106 - Phone
- (419) 283-0714
- NPI assigned
- Jul 20, 2011
- Organization subpart
- Yes
- Parent organization
- QUEST DIAGNOSTICS INCORPORATED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerald Scott Cartier
- Title
- VP of Revenue Services
- Phone
- (484) 676-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
770 Balgreen Dr
Mansfield, OH 44906-4106
Mailing address
1001 Adams Ave Mrgov
2ND Floor
Norristown, PA 19403-2429
Phone (484) 676-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040202000813 | OH | Part B Supplier - Independent Clinical Laboratory | 0749183010 |
7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cincinnati, OH |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0962642 | Advanced Dermatology of NC Ohio Inc | Compliance | Feb 13, 2028 |
National Provider Directory
National Provider Directory- Part of
- Questdiagnost Ic Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350345600000",
"number": "1023306263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 ADAMS AVE MRGOV",
"address_2": "2ND FLOOR",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194032429",
"telephone_number": "484-676-7000",
"fax_number": "484-676-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 BALGREEN DR",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449064106",
"telephone_number": "419-283-0714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAB ONE OF OHIO INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
"enumeration_date": "2011-07-20",
"last_updated": "2012-10-16",
"status": "A",
"authorized_official_last_name": "CARTIER",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "VP OF REVENUE SERVICES",
"authorized_official_telephone_number": "484-676-7000"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.