NPIMap

Organization Active NPI

Benchmark Healthcare of Toledo

Doing business as West Toledo Healthcare and Rehabilitation Center - Laboratory

  • Clinical Medical Laboratory
  • Toledo, OH
National Provider Identifier
1912232034
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
36D0332040 Issued in OH
Legal business name
BENCHMARK HEALTHCARE OF TOLEDO
Doing business as
West Toledo Healthcare and Rehabilitation Center - Laboratory
Practice address
4645 Lewis Ave
Toledo, OH 43612-2336
Phone
(419) 478-5131
NPI assigned
Oct 7, 2009
Last updated
Oct 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Mr. Gary Wade
Title
President / Ceo
Phone
(937) 964-8974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 36D0332040 OH Primary

Addresses

Primary practice location

4645 Lewis Ave
Toledo, OH 43612-2336

Mailing address

4645 Lewis Ave
Toledo, OH 43612-2336
Phone (419) 478-5131

Other names 1

  • West Toledo Healthcare and Rehabilitation Center - Laboratory Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Benchmark Healthcare of Toledo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1912232034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 LEWIS AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436122336",
            "telephone_number": "419-478-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 LEWIS AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436122336",
            "telephone_number": "419-478-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCHMARK HEALTHCARE OF TOLEDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "937-964-8974",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0332040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Toledo Healthcare and Rehabilitation Center - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.