NPIMap

Organization Active NPI

St. Lukes Hospital

  • Clinical Medical Laboratory
  • Maumee, OH
National Provider Identifier
1922348986
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
220964 Issued in OH
Legal business name
ST. LUKES HOSPITAL
Practice address
5901 Monclova Rd
Maumee, OH 43537-1841
Phone
(419) 893-5911
NPI assigned
Feb 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Mr. Ronald Wachsman
Title
Sr VP Managed Care Reimbursement
Phone
(419) 824-7577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 220964 OH Primary

Addresses

Primary practice location

5901 Monclova Rd
Maumee, OH 43537-1841

Mailing address

PO Box 637296
Cincinnati, OH 45263-7296
Phone (419) 893-5911

National Provider Directory

National Provider Directory
Tax ID family
St Lukes Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1922348986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637296",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637296",
            "telephone_number": "419-893-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 MONCLOVA RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371841",
            "telephone_number": "419-893-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKES HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "WACHSMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "SR VP MANAGED CARE REIMBURSEMENT",
        "authorized_official_telephone_number": "419-824-7577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "220964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.