Organization Active NPI

Marinacci Medical Laboratory Inc

  • Clinical Medical Laboratory
  • Lancaster, OH
National Provider Identifier
1295890887
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
36DO328467 Issued in OH
Legal business name
MARINACCI MEDICAL LABORATORY INC
Practice address
830 E Main St
Marinacci Medical Laboratory Inc
Lancaster, OH 43130-3939
Phone
(740) 653-6672
Fax
(740) 653-2364
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nick Marinacci, MT ASCP BLD AAB
Title
Director
Phone
(740) 653-6672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 36DO328467 OH Primary

Addresses

Primary practice location

830 E Main St
Marinacci Medical Laboratory Inc
Lancaster, OH 43130-3939

Mailing address

830 E Main St
Marinacci Medical Laboratory Inc
Lancaster, OH 43130
Phone (740) 653-6672

Other identifiers 1

IdentifierTypeStateIssuer
9600506MedicaidOH

National Provider Directory

National Provider Directory

Locations

830 E Main St
Lancaster, OH 43130
Phone (740) 653-6672

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295890887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E MAIN ST",
            "address_2": "MARINACCI MEDICAL LABORATORY INC",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "43130",
            "telephone_number": "740-653-6672",
            "fax_number": "740-653-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E MAIN ST",
            "address_2": "MARINACCI MEDICAL LABORATORY INC",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303939",
            "telephone_number": "740-653-6672",
            "fax_number": "740-653-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINACCI MEDICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARINACCI",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "740-653-6672",
        "authorized_official_credential": "MT ASCP BLD AAB"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36DO328467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9600506",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.