NPIMap

Organization Active NPI

Bethesda Hospital Inc

Doing business as Bethesda Laboratory Services

  • Clinical Medical Laboratory
  • Cincinnati, OH
National Provider Identifier
1720048143
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
36D345875 Issued in OH
Legal business name
BETHESDA HOSPITAL INC
Doing business as
Bethesda Laboratory Services
Practice address
10500 Montgomery Rd
Cincinnati, OH 45242
Phone
(513) 569-6518
Fax
(513) 569-6513
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Authorized official

Name
Brian Krause
Title
Vice President
Phone
(513) 569-5126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 36D345875 OH Primary

Addresses

Primary practice location

10500 Montgomery Rd
Cincinnati, OH 45242

Mailing address

10500 Montgomery Rd
Cincinnati, OH 45242-4402
Phone (513) 569-6518

Other identifiers 2

IdentifierTypeStateIssuer
000000282620OtherOHANTHEM
4466863OtherOHAETNA

Other names 1

  • BETHESDA LABORATORY SERVICES Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0347757Bethesda North Hospital10500 Montgomery Road, Cincinnati, OH 45242AccreditationFeb 27, 2027
36D2232855Bethesda North Hospital, Labor and10500 Montgomery Road, Cincinnati, OH 45242Provider-performed microscopyAug 17, 2027
36D2240750Bethesda North Hospital Laboratory10500 Montgomery Rd, Cincinnati, OH 45242Certificate of waiverOct 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
H Chadha MD18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

4452 Eastgate Blvd
Ste 101
Cincinnati, OH 45245
Phone (513) 752-3695

1150 W 8th St
Ste 120
Cincinnati, OH 45203
Phone (513) 241-4135

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1720048143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424402",
            "telephone_number": "513-569-6518",
            "fax_number": "513-569-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-569-6518",
            "fax_number": "513-569-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "513-569-5126"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D345875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000282620",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4466863",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BETHESDA LABORATORY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BETHESDA LABORATORY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.

Verify at the official NPI Registry.