Active NPI
Athens Medical Laboratory Associates, Inc.
Doing business as Athens Medical Laboratory
- Clinical Medical Laboratory
- Athens, OH
National Provider Identifier
1528281235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ATHENS MEDICAL LABORATORY ASSOCIATES, INC.
- Doing business as
- Athens Medical Laboratory
- Practice address
- 400 East State Street
Athens, OH 45701 - Phone
- (740) 593-8240
- Fax
- (740) 592-5718
- NPI assigned
- Apr 11, 2007
- Last updated
- Jun 13, 2012
- Organization subpart
- Yes
- Parent organization
- SHELTERING ARMS HOSPITAL FOUNDATION, INC DBA O'BLENESS MEMORIAL HOSP.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Jenkinson, D.O.
- Title
- Laboratory Director
- Phone
- (740) 593-8240
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 36D035113 | OH | |
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
400 East State Street
Athens, OH 45701
Mailing address
400 East State Street
Athens, OH 45701
Phone (740) 593-8240
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36D0351113 | Other | OH | CLIA |
| 0298682 | Medicaid | OH |
Other names 1
- Athens Medical Laboratory
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba O'Bleness Memorial Hospital
- General Acute Care Hospital
- Athens, OH
- NPI 1710913462
Member Of
Locations
265 W Union St
#B
Athens, OH 45701
Phone (740) 593-8240
400 E State St
Athens, OH 45701
Phone (740) 502-4010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339545600000",
"number": "1528281235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 EAST STATE STREET",
"city": "ATHENS",
"state": "OH",
"postal_code": "45701",
"telephone_number": "740-593-8240",
"fax_number": "740-592-5718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 EAST STATE STREET",
"city": "ATHENS",
"state": "OH",
"postal_code": "45701",
"telephone_number": "740-593-8240",
"fax_number": "740-592-5718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHENS MEDICAL LABORATORY ASSOCIATES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SHELTERING ARMS HOSPITAL FOUNDATION, INC DBA O'BLENESS MEMORIAL HOSP.",
"enumeration_date": "2007-04-11",
"last_updated": "2012-06-13",
"status": "A",
"authorized_official_last_name": "JENKINSON",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "LABORATORY DIRECTOR",
"authorized_official_telephone_number": "740-593-8240",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "OH",
"license": "36D035113",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "36D0351113",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0298682",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Athens Medical Laboratory",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Athens, OH
- Athens Health Solutions LLC
- Athens LTC, Inc (The Laurels of Athens)
- Athens Medical Associates, LLC (Athens Medical Associates Podiatry)
- Athens Medical Associates, LLC (River Rose OBGYN)
- Athens Medical Associates, LLC
- Athens Medical Testing LLC
- Athens Oncology Group, Inc.
- Athens Optical Inc. (ProCare Vision 20)
- Athens Premiere Hospice, LLC
- Athens Surgery Center LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.