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NPI Code Detail

MEDICARE: MCBAIN LABORATORIES AND DIAGNOSTIC CENTER INC LLP

MEDICARE: MCBAIN LABORATORIES AND DIAGNOSTIC CENTER INC LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1255163440
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCBAIN LABORATORIES AND DIAGNOSTIC CENTER INC LLP
Provider Business Mailing Address
First Line : 3101 W ELM ST STE 300
Second Line :
City : LIMA
State : OH
Zip : 45805-2555
Country : US
Telephone Number : 419-673-7754
Fax Number :
Provider Business Practice Location Address
First Line : 3101 W ELM ST STE 300
Second Line :
City : LIMA
State : OH
Zip : 45805-2555
Country : US
Telephone Number : 419-673-7754
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : ABIGAIL AKYEAMPONG
Credential : NP
Telephone Number : 740-818-5248
Provider Enumeration Date : 08/15/2024
Last Update Date : 08/15/2024

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Directions to “MCBAIN LABORATORIES AND DIAGNOSTIC CENTER INC LLP ” Practice Location

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