NPIMap

Organization Active NPI

Springfield Masonic Community

  • Clinical Medical Laboratory
  • Springfield, OH
National Provider Identifier
1710211149
Registry record updated Oct 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
36D0917924 Issued in OH
Legal business name
SPRINGFIELD MASONIC COMMUNITY
Practice address
3 Masonic Dr
Springfield, OH 45504-3658
Phone
(937) 525-3000
NPI assigned
Oct 2, 2009
Organization subpart
Yes
Parent organization
OHIO MASONIC HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2009

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

Authorized official

Name
Ms. Marion Leeman
Title
President
Phone
(937) 525-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 36D0917924 OH Primary

Addresses

Primary practice location

3 Masonic Dr
Springfield, OH 45504-3658

Mailing address

3 Masonic Dr
Springfield, OH 45504-3658
Phone (937) 525-3000

Other names 1

  • Springfield Masonic Community - Laboratory Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Springfield Masonic Community3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254614400000",
    "number": "1710211149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MASONIC DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455043658",
            "telephone_number": "937-525-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MASONIC DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455043658",
            "telephone_number": "937-525-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD MASONIC COMMUNITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO MASONIC HOME",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-04",
        "status": "A",
        "authorized_official_last_name": "LEEMAN",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-525-3000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0917924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Masonic Community - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2009; 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.