Medticare Testing Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MEDTICARE TESTING CLINIC

Practice address

3905 Mack Rd
Fairfield, OH 45014-7659

Phone

(513) 663-0607

NPI assigned

Mar 7, 2024

Organization subpart

No

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

Authorized official

Name

Tinashia Shanice BrunnerNPI 1922806702

Title

Ceo

Phone

(513) 663-0607

Specialties & licenses 1

Addresses

Other names 1

• MedTiCare Testing Clinic Doing business as

Practitioners 1

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

• Tinashia Shanice Brunner

  • In Home Supportive Care Agency
  • Cincinnati, OH
  • NPI 1922806702
  NPD Authorized official

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1699533406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 MACK RD APT 68",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450146670",
            "telephone_number": "513-663-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 MACK RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450147659",
            "telephone_number": "513-663-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTICARE TESTING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "BRUNNER",
        "authorized_official_first_name": "TINASHIA",
        "authorized_official_middle_name": "SHANICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-663-0607"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedTiCare Testing Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yvonne McKinney, R.N.
• Ronea D McMillan
• Logan Curtis McQueary, LPCC
• Medcentric Pharmacy 2 LLC
• Mediant Home Care LLC
• Dana Meeks
• Reza Mehzad, M.D.
• Christopher J Meier, M.D.
• Meijer Stores Limited Partnership
• Eric V Meister

• Clinic/Center in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.