NPIMap

Organization Active NPI

Dayton Children's Hospital

Doing business as Dayton Children's Hospital Reference Lab

  • Clinical Medical Laboratory
  • Dayton, OH
National Provider Identifier
1407377500
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DAYTON CHILDREN'S HOSPITAL
Doing business as
Dayton Children's Hospital Reference Lab
Practice address
1 Childrens PLZ
Dayton, OH 45404-1873
Phone
(937) 641-3000
Fax
(937) 641-3326
NPI assigned
Jun 29, 2017
Last updated
May 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Authorized official

Name
Chris Bergman
Title
C.F.O.
Phone
(937) 641-3338

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X OH
Clinical Medical Laboratory 291U00000X OH Primary

Addresses

Primary practice location

1 Childrens PLZ
Dayton, OH 45404-1873

Mailing address

1 Childrens PLZ
Dayton, OH 45404-1873
Phone (937) 641-3000

Other identifiers 2

IdentifierTypeStateIssuer
0465509MedicaidOH
363306OtherMEDICARE

Other names 1

  • Dayton Children's Hospital Reference Lab Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0859317Dayton Children's Hospital - Medical1 Childrens Plaza, Dayton, OH 45404AccreditationAug 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dayton Children's Medical Center11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1407377500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS PLZ",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041873",
            "telephone_number": "937-641-3000",
            "fax_number": "937-641-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS PLZ",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041873",
            "telephone_number": "937-641-3000",
            "fax_number": "937-641-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "937-641-3338"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0465509",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "363306",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dayton Children's Hospital Reference Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dayton Children's Hospital Reference Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.