Organization Active NPI

SHC Youngstown Ohio Laboratory Services Company LLC

  • Clinical Medical Laboratory
  • Poland, OH
National Provider Identifier
1497289649
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SHC YOUNGSTOWN OHIO LABORATORY SERVICES COMPANY LLC
Practice address
811 Southwestern Run
Poland, OH 44514-3688
Phone
(330) 629-8033
NPI assigned
Apr 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Authorized official

Name
John Doyle
Title
Cfo
Phone
(469) 341-8804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

811 Southwestern Run
Poland, OH 44514-3688

Mailing address

1900 N Pearl St Ste 2400
Dallas, TX 75201-2470
Phone (469) 341-8800

National Provider Directory

National Provider Directory

Locations

500 Gypsy Ln
Ste 500
Youngstown, OH 44504
Phone (330) 884-3748

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1497289649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N PEARL ST STE 2400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012470",
            "telephone_number": "469-341-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SOUTHWESTERN RUN",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143688",
            "telephone_number": "330-629-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHC YOUNGSTOWN OHIO LABORATORY SERVICES COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "469-341-8804"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.