NPIMap

Organization Active NPI

Community Blood Center

  • Clinical Medical Laboratory
  • Dayton, OH
National Provider Identifier
1629200225
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
51088498 Issued in OH
Legal business name
COMMUNITY BLOOD CENTER
Practice address
349 S Main St
Dayton, OH 45402-2715
Phone
(937) 461-3450
Fax
(937) 913-3458
NPI assigned
Aug 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Dr. David Smith, MDNPI 1154435816
Title
Ceo
Phone
(937) 461-3610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 51088498 OH Primary

Addresses

Primary practice location

349 S Main St
Dayton, OH 45402-2715

Mailing address

349 S Main St
Dayton, OH 45402-2715
Phone (937) 461-3450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120705000465 OH Part A Provider - Histocompatibility Laboratory 0143485748 Practice locations: Dayton, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0348966Community Blood Center Dba Solvita349 S Main St, Suites 202, 203, 204, 206, 207, 208, Dayton, OH 45402AccreditationJul 26, 2027
36D2310410Versiti Blood Health, Inc349 South Main Street, Suites 201 and 205, Dayton, OH 45402AccreditationNov 4, 2026

National Provider Directory

National Provider Directory

Locations

349 S Main St
Dayton, OH 45402
Phone (937) 461-3450

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1629200225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 S MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022715",
            "telephone_number": "937-461-3450",
            "fax_number": "937-913-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 S MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022715",
            "telephone_number": "937-461-3450",
            "fax_number": "937-913-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BLOOD CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-461-3610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "51088498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.