Aura Genetics of Ohio, LLC
Organization Active NPI Clinical Medical Laboratory · Boardman, OH
NPI 1891467643 · NPPES record last updated Jan 26, 2022
Key facts
- NPI
- 1891467643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- AURA GENETICS OF OHIO, LLC
- Practice address
- 801 Kentwood Dr
Boardman, OH 44512-5004 - Phone
- (330) 507-5444
- NPI assigned
- Sep 30, 2021
- Organization subpart
- No
Authorized official
- Name
- James Thompson
- Title
- Ceo
- Phone
- (330) 507-5444
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220323001157 | OH | Part B Supplier - Independent Clinical Laboratory | 3870988124 | Practice locations: Youngstown, OH |
National Provider Directory
Locations
10 Manor Hill Dr
Canfield, OH 44406
801 Kentwood Dr
Youngstown, OH 44512
Phone (330) 507-5444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
801 Kentwood Dr
Boardman, OH 44512-5004
Mailing address
801 Kentwood Dr
Boardman, OH 44512-5004
Phone (330) 507-5444
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36D2247872 | Other | OH | CLIA |
Other names
- Aura Genetics
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All providers in Boardman, OH · Clinical Medical Laboratory in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.