Miami Valley CCK Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MIAMI VALLEY CCK LABORATORY

Practice address

6818 Loop Rd
Centerville, OH 45459-2159

Phone

(937) 478-2011

NPI assigned

Feb 15, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Willard A Yarema

Title

Sole Owner

Phone

(937) 478-2011

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1467774695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 LOOP RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592159",
            "telephone_number": "937-478-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 LOOP RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592159",
            "telephone_number": "937-478-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI VALLEY CCK LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "YAREMA",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "937-478-2011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Susanne Merryman, D.O.
• Ihab F Messiha, D.D.S
• Jessica Diane Meyer, CDCA
• Enrico M Meza-Cuadra
• Patrick U Mezu, MD
• Miami Valley Medical Supplies Inc. (Centerville LTC Pharmacy)
• Michael a Krumnauer DDS Inc.
• Caren Michael, APRN-CNP
• Marie Middleton, NP-C
• Midwest Federal Injury Group (Federal Injury Centers of Dayton)

• Clinical Medical Laboratory in Centerville, OH
• Providers in Centerville, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; 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.