NPIMap

Organization Active NPI

Compunet Clinical Laboratories, LLC

  • Clinical Medical Laboratory
  • Greenville, OH
National Provider Identifier
1891137147
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
COMPUNET CLINICAL LABORATORIES, LLC
Practice address
1111 Sweitzer St
Greenville, OH 45331-1189
Phone
(937) 296-0844
NPI assigned
Jul 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Authorized official

Name
John M Manier
Title
VP Finance, Cfo
Phone
(937) 297-8202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1111 Sweitzer St
Greenville, OH 45331-1189

Mailing address

2308 Sandridge Dr
Moraine, OH 45439-1847
Phone (937) 297-8253

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050901000018 OH Part B Supplier - Independent Clinical Laboratory 4385676188 18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Centerville, OH; Troy, OH; Moraine, OH; Middletown, OH; Miamisburg, OH; Jamestown, OH; Kettering, OH; Dayton, OH…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

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
36D2060748Compunet Clinical Labs at Dpho1111 Sweitzer Street, Greenville, OH 45331AccreditationFeb 11, 2028

National Provider Directory

National Provider Directory
Tax ID family
Compunet Sunset12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1374796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1891137147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 SANDRIDGE DR",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391847",
            "telephone_number": "937-297-8253",
            "fax_number": "937-297-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SWEITZER ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311189",
            "telephone_number": "937-296-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPUNET CLINICAL LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-26",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "MANIER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP FINANCE, CFO",
        "authorized_official_telephone_number": "937-297-8202"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.