Active NPI
Oregon Health Investors Co.
- Clinical Medical Laboratory
- Oregon, OH
National Provider Identifier
1669638045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 36D0916964
- Legal business name
- OREGON HEALTH INVESTORS CO.
- Practice address
- 2841 Munding Dr
Oregon, OH 43616-3214 - Phone
- (419) 697-4100
- NPI assigned
- Aug 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bruce Daskal
- Title
- Owner
- Phone
- (216) 898-8399
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 36D0916964 | OH | Primary |
Addresses
Primary practice location
2841 Munding Dr
Oregon, OH 43616-3214
Mailing address
2841 Munding Dr
Oregon, OH 43616-3214
Phone (419) 697-4100
Other names 1
- Orchard Villa - Laboratory
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0916964 | Orchard Villa | Certificate of waiver | Jul 7, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Orchard Villa
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Oregon, OH
- NPI 1114028420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217894400000",
"number": "1669638045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2841 MUNDING DR",
"city": "OREGON",
"state": "OH",
"postal_code": "436163214",
"telephone_number": "419-697-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2841 MUNDING DR",
"city": "OREGON",
"state": "OH",
"postal_code": "436163214",
"telephone_number": "419-697-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OREGON HEALTH INVESTORS CO.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-05",
"last_updated": "2008-08-05",
"status": "A",
"authorized_official_last_name": "DASKAL",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-898-8399",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "OH",
"license": "36D0916964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Orchard Villa - Laboratory",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oregon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.