Organization Active NPI

Osu Histology Lab LLC

  • Clinical Medical Laboratory
  • Columbus, OH
National Provider Identifier
1760574065
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
OSU HISTOLOGY LAB LLC
Practice address
1507 Chambers Rd
Columbus, OH 43212-1568
Phone
(614) 293-0345
Fax
(614) 293-0324
NPI assigned
Sep 28, 2006
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Leslie Stump, MBA
Title
Chief Administrative Officer
Phone
(614) 685-9763

Specialties & licenses 1

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

Addresses

Primary practice location

1507 Chambers Rd
Columbus, OH 43212-1568

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-0345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050902000375 OH Part B Supplier - Independent Clinical Laboratory 4183656846 Practice locations: Columbus, OH

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
36D1043350Osu Histology Lab LLC1507 Chambers Road Lower Level, Columbus, OH 43212AccreditationJun 21, 2028

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1507 Chambers Rd
Columbus, OH 43212
Phone (614) 293-0345

181 Taylor Ave
Rm N320C
Columbus, OH 43203
Phone (614) 257-3980

2050 Kenny Rd
Rm 930
Columbus, OH 43221
Phone (614) 293-5292

410 W 10th Ave
#N305
Columbus, OH 43210
Phone (614) 293-3905

410 W 10th Ave
Rm 310
Columbus, OH 43210
Phone (614) 293-5905

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1760574065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-0345",
            "fax_number": "614-293-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 CHAMBERS RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432121568",
            "telephone_number": "614-293-0345",
            "fax_number": "614-293-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSU HISTOLOGY LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "STUMP",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "614-685-9763",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.