Organization Active NPI

Orion Blossom LLC

  • Clinical Medical Laboratory
  • Salem, OH
National Provider Identifier
1962656900
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
36D0953812 Issued in OH
Legal business name
ORION BLOSSOM LLC
Practice address
109 Blossom LN
Salem, OH 44460-4284
Phone
(330) 337-3033
NPI assigned
Nov 4, 2008
Organization subpart
Yes
Parent organization
ORION OPERATING SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Mr. Dennis Lockhart
Title
Controller
Phone
(614) 416-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 36D0953812 OH Primary

Addresses

Primary practice location

109 Blossom LN
Salem, OH 44460-4284

Mailing address

109 Blossom LN
Salem, OH 44460-4284
Phone (330) 337-3033

Other names 1

  • Blossom Nursing & Rehabilitation Center-Lab Doing business as

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
36D0953812Blossom Nursing & Rehab Center Inc109 Blossom Lane, Salem, OH 44460Certificate of waiverNov 11, 2026

National Provider Directory

National Provider Directory
Tax ID family
Blossom Nursing and Rehabilitation Center3 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": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1962656900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BLOSSOM LN",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444604284",
            "telephone_number": "330-337-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BLOSSOM LN",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444604284",
            "telephone_number": "330-337-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORION BLOSSOM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORION OPERATING SERVICES",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "614-416-0600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0953812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom Nursing & Rehabilitation Center-Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.