City of Columbus
Organization Active NPI Clinical Medical Laboratory · Columbus, OH
NPI 1194760439 · NPPES record last updated Jun 24, 2015
Key facts
- NPI
- 1194760439
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- CITY OF COLUMBUS
- Practice address
- 240 Parsons Ave
Columbus, OH 43215-5331 - Phone
- (614) 645-6792
- Fax
- (614) 645-6091
- NPI assigned
- Jun 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Teresa C. Long, M.D., M.P.H.
- Title
- Health Commissioner
- Phone
- (614) 645-7417
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 6
Practitioners 19
-
Allison Budd, FNP-C
-
Jennifer Flood, NURSE MIDWIFE
-
Min Kim, ANP-BC
-
Megan Nicole Ackley, APRN-CNP
-
Jose A Bazan, D.O.
-
Rachel C Cranmer, PC
-
Stephanie J Glass, RCNP
-
Mikayla Lonergan, APRN-CNP
-
Daniel David Lutz, MSW LSW
-
Catrice Needum, FNP-C
-
Angela E Tracy, LPCC
-
Mathew Varughese, LPC
-
Deianira C Leach, LPC, LLP
-
Kimberly Ann Cook, CNP
-
Emily Avant Ridgway-Limle, APRN-CNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0329763 | Columbus Health Department | Certificate of waiver | Aug 31, 2026 |
| 36D0892028 | Columbus Health Dept - Women'S | Provider-performed microscopy | Sep 21, 2026 |
| 36D2297690 | Columbus Health Department | Certificate of waiver | Jan 18, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090527000364 | OH | Part B Supplier - Independent Clinical Laboratory | 0446164156 | Practice locations: Columbus, OH |
National Provider Directory
- Tax ID family
- Maloney Southside Healt
Locations
240 Parsons Ave
Columbus, OH 43215
Phone (614) 645-6792
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | OH | Yes |
Addresses
Primary practice location
240 Parsons Ave
Columbus, OH 43215-5331
Mailing address
240 Parsons Ave
Columbus, OH 43215-5331
Phone (614) 645-6793
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0115011 | Medicaid | OH |
Other names
- Columbus Health Department-Lab
Other providers in Columbus, OH
- Citizens Home Healthcare LLC
- City Express LLC
- City Home Health Care Inc
- City Medical Nursing Center LLC
- City of Columbus
- City of Columbus
- City of Columbus
- City of Columbus
- City of Columbus - Columbus Health Department
- City of Grandview Heights
All providers in Columbus, OH · Clinical Medical Laboratory in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.