Kilbourne Medical Laboratories Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

36D0346978 Issued in OH

Legal business name

KILBOURNE MEDICAL LABORATORIES INC

Practice address

665 Ohio Pike
Cincinnati, OH 45245-2117

Phone

(513) 752-7300

Fax

(513) 752-7601

NPI assigned

May 31, 2005

Last updated

Jun 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cindy Smotherman

Title

Billing Manager

Phone

(513) 752-7300

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1205839610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 OHIO PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452117",
            "telephone_number": "513-752-7300",
            "fax_number": "513-752-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 OHIO PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452117",
            "telephone_number": "513-752-7300",
            "fax_number": "513-752-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILBOURNE MEDICAL LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "SMOTHERMAN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "513-752-7300"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0346978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM FEDERAL",
            "identifier": "000000272341",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200232160A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37902368",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0592505",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3500134",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harriet S. Kiganda, RN
• Edward O'Reilly Kiger, PHARMD
• Laura Ann Kiger
• Chashelle Kil
• Sasidhar P Kilaru, M.D.
• Maureen F Kiley, PC
• John T Kilfoil
• Shannon Kilgore, CNP
• Sydney Lynn Kilgore, DPT
• Megan E Kilian, MD

• Clinical Medical Laboratory in Cincinnati, OH
• Providers in Cincinnati, 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 Jun 4, 2008; 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.