NPIMap

Organization Active NPI

Talbot Clinical Services of Oh LLC

  • Clinical Medical Laboratory
  • Toledo, OH
National Provider Identifier
1922717685
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TALBOT CLINICAL SERVICES OF OH LLC
Practice address
732 Main St
Toledo, OH 43605-2397
Phone
(833) 762-1013
Fax
(419) 691-0601
NPI assigned
Nov 21, 2022
Last updated
Dec 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Elaine Wilson
Title
Billing Director
Phone
(281) 962-8878

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

732 Main St
Toledo, OH 43605-2397

Mailing address

732 Main St
Toledo, OH 43605-2397

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
36D2087039Talbot Clinical Services of Ohio732 Main St, Toledo, OH 43605Certificate of waiverNov 16, 2026

National Provider Directory

National Provider Directory
Tax ID family
Autumn Treatment Center LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

732 Main St
Toledo, OH 43605
Phone (419) 691-0600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1922717685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 MAIN ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436052397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 MAIN ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436052397",
            "telephone_number": "833-762-1013",
            "fax_number": "419-691-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALBOT CLINICAL SERVICES OF OH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "281-962-8878"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.