Active NPI
Miami Valley Cytology
- Clinical Medical Laboratory
- Huber Heights, OH
National Provider Identifier
1831151927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 36DO350260
- Legal business name
- MIAMI VALLEY CYTOLOGY
- Practice address
- 7415 Brandt Pike
Huber Heights, OH 45424-3239 - Phone
- (937) 293-0773
- NPI assigned
- Apr 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Willard Yarema, M.S.
- Title
- Cytologist
- Phone
- (937) 293-0773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 36DO350260 | OH | Primary |
Addresses
Primary practice location
7415 Brandt Pike
Huber Heights, OH 45424-3239
Mailing address
999 Brubaker Dr
Kettering, OH 45429-3588
Phone (937) 293-0773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0923102 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
999 Brubaker Dr
Kettering, OH 45429
Phone (937) 350-6700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212451200000",
"number": "1831151927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 BRUBAKER DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454293588",
"telephone_number": "937-293-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7415 BRANDT PIKE",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454243239",
"telephone_number": "937-293-0773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIAMI VALLEY CYTOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-04",
"last_updated": "2008-06-03",
"status": "A",
"authorized_official_last_name": "YAREMA",
"authorized_official_first_name": "WILLARD",
"authorized_official_title_or_position": "CYTOLOGIST",
"authorized_official_telephone_number": "937-293-0773",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "OH",
"license": "36DO350260",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0923102",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huber Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.