Laboratory Medicine Associates Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LABORATORY MEDICINE ASSOCIATES INC

Practice address

561 W Central Ave
Delaware, OH 43015-1410

Phone

(740) 369-8711

NPI assigned

Mar 31, 2006

Organization subpart

No

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

Authorized official

Name

Henry Diederichs, MD

Title

President

Phone

(740) 368-5158

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528029378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 W CENTRAL AVE",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151410",
            "telephone_number": "740-369-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 W CENTRAL AVE",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151410",
            "telephone_number": "740-369-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY MEDICINE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIEDERICHS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-368-5158",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0537655",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald L Kremer, MD
• Mary Kriesch
• Abenet Kumssa
• Benjamin J Kwok, DDS
• La' Che Hair Extensions
• Lakewood Med Inc
• Phallon Lancaster, SLP
• Amy Elizabeth Land, CNP
• Landmark Behavioral Health, LLC
• Landmark Behavioral Health, LLC

• Specialist in Delaware, OH
• Providers in Delaware, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.