Organization Active NPI

Mira Precision Health, Inc

Doing business as Mobility Health

  • Clinical Medical Laboratory
  • Mason, OH
National Provider Identifier
1033724109
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MIRA PRECISION HEALTH, INC
Doing business as
Mobility Health
Practice address
5155 Financial Way Ste 15
Mason, OH 45040-0055
Phone
(513) 972-4621
NPI assigned
Sep 15, 2020
Last updated
Dec 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sandra Gunselman, PHD
Title
Ceo
Phone
(256) 783-2874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5155 Financial Way Ste 15
Mason, OH 45040-0055

Mailing address

5155 Financial Way Ste 15
Mason, OH 45040-7507
Phone (513) 770-0870

Other names 2

  • Mobility Health Doing business as
  • Mobility Health, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC, CT, CO, NY, TX6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20210104000931 OH Part B Supplier - Independent Clinical Laboratory 5496168809 Receives reassigned benefits from 1 practitioner
Practice locations: Mason, OH
O20220214000569 NC Part B Supplier - Independent Clinical Laboratory 5496168809 Practice locations: Greensboro, NC
O20220506000096 CT Part B Supplier - Independent Clinical Laboratory 5496168809 Practice locations: Danielson, CT
O20220811002238 CO Part B Supplier - Independent Clinical Laboratory 5496168809 Practice locations: Fort Collins, CO; Greeley, CO; Longmont, CO
O20221206002414 NY Part B Supplier - Independent Clinical Laboratory 5496168809 Practice locations: Flushing, NY
O20221214000535 TX Part B Supplier - Independent Clinical Laboratory 5496168809 Practice locations: Katy, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2194362Mira Precision Health Inc5155 Financial Way, #15, Mason, OH 45040AccreditationMay 8, 2027

National Provider Directory

National Provider Directory

Locations

1107 Merrill St
Salinas, CA 93901
Phone (513) 972-4621

2601 S Lemay Ave
Fort Collins, CO 80525
Phone (970) 682-2038

5155 Financial Way
Mason, OH 45040

5155 Financial Way
Ste 1
Mason, OH 45040

5155 Financial Way
Ste 15
Mason, OH 45040
Phone (513) 972-4621

705 S Fry Rd
Ste 105
Katy, TX 77450
Phone (281) 500-8176

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1033724109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 FINANCIAL WAY STE 15",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407507",
            "telephone_number": "513-770-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 FINANCIAL WAY STE 15",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450400055",
            "telephone_number": "513-972-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRA PRECISION HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "GUNSELMAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-783-2874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobility Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mobility Health, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.

Verify at the official NPI Registry.