Organization Active NPI

Johnson Laboratory Inc

  • Clinical Medical Laboratory
  • Coshocton, OH
National Provider Identifier
1134293244
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
JOHNSON LABORATORY INC
Practice address
660 Main Street
Coshocton, OH 43812
Phone
(740) 622-3971
Fax
(740) 622-5150
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Katina Eileen Beitzel
Title
Owner Managing Supervisor
Phone
(740) 622-3971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

660 Main Street
Coshocton, OH 43812

Mailing address

660 Main Street
Coshocton, OH 43812
Phone (740) 622-3971

Other identifiers 1

IdentifierTypeStateIssuer
4425812MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134293244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 MAIN STREET",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "43812",
            "telephone_number": "740-622-3971",
            "fax_number": "740-622-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 MAIN STREET",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "43812",
            "telephone_number": "740-622-3971",
            "fax_number": "740-622-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEITZEL",
        "authorized_official_first_name": "KATINA",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER MANAGING SUPERVISOR",
        "authorized_official_telephone_number": "740-622-3971",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4425812",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

  • 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.