Active NPI
Mount Carmel Health System
- Clinical Medical Laboratory
- Columbus, OH
National Provider Identifier
1295136125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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 SYSTEM
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6196165 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Mount Carmel West Outpatient Pharmacy
- Part of
- Mount Carmel West Outpatient Pharmacy
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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
- Mount Carmel Health Providers Two, LLC
- Mount Carmel Health Providers Two, LLC
- Mount Carmel Health Providers Two, LLC
- Mount Carmel Health Providers Two, LLC
- Mount Carmel Health System
- Mount Carmel Health System
- Mount Carmel Health System
- Mount Carmel Health System
- Mount Carmel Health System
- Mount Carmel Health System
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.