Healthcare Provider Details

I. General information

NPI: 1013192418
Provider Name (Legal Business Name): PREXUS CLINICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2008
Last Update Date: 04/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 PICTORIA DR STE 800
CINCINNATI OH
45246-1615
US

IV. Provider business mailing address

225 PICTORIA DR STE 800
CINCINNATI OH
45246-1615
US

V. Phone/Fax

Practice location:
  • Phone: 513-454-1414
  • Fax:
Mailing address:
  • Phone: 513-454-1414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: ROBYN M FINNEGAN
Title or Position: VICE PRESIDENT MANAGED CARE
Credential:
Phone: 513-454-1428