Organization Active NPI

Gem City Clinical Laboratory, LLC

  • Clinical Medical Laboratory
  • Kettering, OH
National Provider Identifier
1134510175
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
36D2090245 Issued in OH
Legal business name
GEM CITY CLINICAL LABORATORY, LLC
Practice address
3560 Marshall Rd
Suite 1
Kettering, OH 45429-4916
Phone
(937) 760-9449
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Steven K Whisenhunt
Title
President/Owner
Phone
(937) 760-9449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 36D2090245 OH Primary

Addresses

Primary practice location

3560 Marshall Rd
Suite 1
Kettering, OH 45429-4916

Mailing address

PO Box 292012
Dayton, OH 45429-0012

National Provider Directory

National Provider Directory

Locations

3560 Marshall Rd
Kettering, OH 45429
Phone (937) 760-2441

3560 Marshall Rd
Ste 1
Kettering, OH 45429
Phone (937) 760-9449

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1134510175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292012",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454290012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 MARSHALL RD",
            "address_2": "SUITE 1",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454294916",
            "telephone_number": "937-760-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM CITY CLINICAL LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "WHISENHUNT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "937-760-9449"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D2090245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.