Organization Active NPI

Mount Carmel Health System

  • Clinical Medical Laboratory
  • Columbus, OH
National Provider Identifier
1295136125
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
36D0953122
Legal business name
MOUNT CARMEL HEALTH SYSTEM
Practice address
793 W State St
Columbus, OH 43222-1551
Phone
(614) 234-5227
NPI assigned
Sep 10, 2014
Organization subpart
Yes
Parent organization
MOUNT CARMEL HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Mr. Andrew Priday
Title
Chief Financial Officer
Phone
(614) 546-4146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 36D0953122 Primary

Addresses

Primary practice location

793 W State St
Columbus, OH 43222-1551

Mailing address

3100 Easton Square PL
Columbus, OH 43219-6289
Phone (734) 343-3320

Other identifiers 1

IdentifierTypeStateIssuer
6196165MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Mount Carmel West Outpatient Pharmacy15 organizations share this tax ID, including this one
Part of
Mount Carmel West Outpatient Pharmacy

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

3100 Easton Square Pl
Columbus, OH 43219
Phone (614) 546-4621

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1295136125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 EASTON SQUARE PL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196289",
            "telephone_number": "734-343-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 W STATE ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221551",
            "telephone_number": "614-234-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT CARMEL HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNT CARMEL HEALTH SYSTEM",
        "enumeration_date": "2014-09-10",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "PRIDAY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "614-546-4146",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": "36D0953122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6196165",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.