Holmes Diagnostic Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HOLMES DIAGNOSTIC LABORATORY INC

Practice address

1245 Glen Drive
Suite a
Millersburg, OH 44654

Phone

(330) 674-6850

Fax

(866) 947-0048

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William B Yerse, MLT ASCP

Title

Lab Supervisor

Phone

(330) 674-6850

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053483438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 GLEN DRIVE",
            "address_2": "SUITE A",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "44654",
            "telephone_number": "330-674-6850",
            "fax_number": "866-947-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 GLEN DRIVE",
            "address_2": "SUITE A",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "44654",
            "telephone_number": "330-674-6850",
            "fax_number": "866-947-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMES DIAGNOSTIC LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YERSE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "LAB SUPERVISOR",
        "authorized_official_telephone_number": "330-674-6850",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MLT ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000155845",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121960",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke E Hochstetler, PA-C
• Holmes County Council on Aging Inc. (Darb Snyder Senior Center)
• Holmes County General Health District (Community Clinic)
• Holmes County Health District (Hospice of Holmes County)
• Holmes County Joel Pomerene Memorial Hospital (Joel Pomerene Memorial Hospital)
• Holmes Family Medicine, Inc
• Holmes Fire District No 1
• Holmes Medical Supplies
• Holmes Physicians, LLC
• Holmes Spine & Sport Chiropractic Clinic Inc.

• Clinical Medical Laboratory in Millersburg, OH
• Providers in Millersburg, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.