NPIMap

Organization Active NPI

Deaconess Diagnostic, LLC

  • Physiological Laboratory
  • Cincinnati, OH
National Provider Identifier
1497049191
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
10-E-16892-001 Issued in OH
Legal business name
DEACONESS DIAGNOSTIC, LLC
Practice address
311 Straight St
Cincinnati, OH 45219-1018
Phone
(513) 559-2100
Fax
(513) 475-5253
NPI assigned
May 31, 2011
Organization subpart
Yes
Parent organization
THE DEACONESS ASSOCIATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Mr. Patrick J Ward
Title
Executive Director
Phone
(513) 559-2664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X 10-E-16892-001 OH Primary

Addresses

Primary practice location

311 Straight St
Cincinnati, OH 45219-1018

Mailing address

311 Straight St
Cincinnati, OH 45219-1018
Phone (513) 559-2100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1497049191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 STRAIGHT ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191018",
            "telephone_number": "513-559-2100",
            "fax_number": "513-475-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 STRAIGHT ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191018",
            "telephone_number": "513-559-2100",
            "fax_number": "513-475-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS DIAGNOSTIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE DEACONESS ASSOCIATION, INC.",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "513-559-2664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "OH",
            "license": "10-E-16892-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.