NPIMap

Organization Active NPI

Compunet Clinical Laboratories LLC

  • Clinical Medical Laboratory
  • Middletown, OH
National Provider Identifier
1336857770
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
COMPUNET CLINICAL LABORATORIES LLC
Practice address
1 Medical Center Dr
Middletown, OH 45005-2584
Phone
(420) 575-5513
NPI assigned
Nov 14, 2022
Organization subpart
Yes
Parent organization
COMPUNET CLINICAL LABORATORIES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Cindy Smotherman
Title
Revenue Cycle Director
Phone
(513) 307-0748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1 Medical Center Dr
Middletown, OH 45005-2584

Mailing address

2308 Sandridge Dr
Moraine, OH 45439-1856
Phone (937) 297-8228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050901000018 OH Part B Supplier - Independent Clinical Laboratory 4385676188 18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Centerville, OH; Troy, OH; Moraine, OH; Middletown, OH; Miamisburg, OH; Jamestown, OH; Kettering, OH; Dayton, OH…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Compunet Sunset12 organizations share this tax ID, including this one
Part of
Compunet Sunset

Other organizations with this tax ID 11

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

Locations

2300 Miami Valley Dr
Ste 290
Centerville, OH 45459
Phone (937) 312-1585

1111 Sweitzer St
Greenville, OH 45331
Phone (937) 298-4417

3700 Southern Blvd
Ste 103
Kettering, OH 45429
Phone (937) 813-7348

1382 E Stroop Rd
Kettering, OH 45429
Phone (937) 293-4383

62 N Breiel Blvd
Middletown, OH 45042
Phone (513) 423-9694

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

1888 W Main St
Troy, OH 45373
Phone (937) 296-0844

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1336857770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 SANDRIDGE DR",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391856",
            "telephone_number": "937-297-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450052584",
            "telephone_number": "420-575-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPUNET CLINICAL LABORATORIES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPUNET CLINICAL LABORATORIES LLC",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "SMOTHERMAN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "513-307-0748"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.