Compunet Clinical Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COMPUNET CLINICAL LABORATORIES, LLC

Practice address

3535 Pentagon Blvd Ste 400
Beavercreek, OH 45431-1705

Phone

(937) 296-0844

Fax

(937) 297-8254

NPI assigned

Nov 20, 2013

Organization subpart

No

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

Authorized official

Name

John M Manier

Title

Cfo

Phone

(937) 297-8202

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Valley Pathologists, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Dayton, OH
  • NPI 1992798854

  Member Of

  NPD member
• Quest Diagnostics Incorporated

  • Clinical Medical Laboratory
  • Albany, NY
  • NPI 1265202147

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1699105130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 SANDRIDGE DR",
            "address_2": "ATTENTION: CINDY ALEXANDER",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391847",
            "telephone_number": "937-297-8253",
            "fax_number": "937-297-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 PENTAGON BLVD STE 400",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454311705",
            "telephone_number": "937-296-0844",
            "fax_number": "937-297-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPUNET CLINICAL LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "MANIER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "937-297-8202"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "36D2066338",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ruth Collins
• Kailee Colter, M.S., ED.S.
• Claire Colwell
• Claire Combs
• Complete Care Plus LLC
• Corinne Conaway, MD
• Concertocare Medical Group of Ohio, Inc.
• Jessica Conger
• Samantha Coning, M.A., CF-SLP
• Craig Conley

• Clinical Medical Laboratory in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.