Medi Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MEDI LAB INC

Practice address

855 W Market St
Lima, OH 45805-2795

Phone

(419) 228-8800

NPI assigned

Oct 3, 2005

Organization subpart

No

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

Authorized official

Name

Corey Gillen

Title

Billing

Phone

(419) 228-8800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1275520595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052795",
            "telephone_number": "419-228-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052795",
            "telephone_number": "419-228-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "GILLEN",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "419-228-8800"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0325277",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia D McNeill
• Sherree Meade
• Marietta J Medel, MD
• Sampath Medepalli, MD
• Medetc LLC
• Rhonda J Medina, M.D.
• Catrese Medley, LPN
• Tammy Gail Meeks
• Ashley Meihls
• Meijer Stores Limited Partnership

• Clinical Medical Laboratory in Lima, OH
• Providers in Lima, 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 Oct 15, 2007; 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.