Organization Active NPI

Youngstown Ohio Laboratory Services Company LLC

  • Clinical Medical Laboratory
  • Poland, OH
National Provider Identifier
1700193141
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
YOUNGSTOWN OHIO LABORATORY SERVICES COMPANY LLC
Practice address
811 Southwestern Run
Poland, OH 44514-3688
Phone
(615) 465-7000
Fax
(615) 465-3007
NPI assigned
Sep 7, 2010
Last updated
Aug 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Mike A Swaw
Title
Director
Phone
(615) 465-7626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

811 Southwestern Run
Poland, OH 44514-3688

Mailing address

811 Southwestern Run
Poland, OH 44514-3688
Phone (615) 465-7626

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1700193141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 SOUTHWESTERN RUN",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143688",
            "telephone_number": "615-465-7626",
            "fax_number": "615-465-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SOUTHWESTERN RUN",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143688",
            "telephone_number": "615-465-7000",
            "fax_number": "615-465-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGSTOWN OHIO LABORATORY SERVICES COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "SWAW",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-465-7626"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.