Active NPI
Gem City Clinical Laboratory, LLC
- Clinical Medical Laboratory
- Kettering, OH
National Provider Identifier
1134510175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 36D2090245
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Addiction (Substance Use Disorder) Counselor
- Kettering, OH
- NPI 1871733758
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.