Healthcare Provider Details

I. General information

NPI: 1871303958
Provider Name (Legal Business Name): LOCAL INDUSTRIES GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4030 MOUNT CARMEL TOBASCO RD STE 129A
CINCINNATI OH
45255-3400
US

IV. Provider business mailing address

4030 MOUNT CARMEL TOBASCO RD STE 129A
CINCINNATI OH
45255-3400
US

V. Phone/Fax

Practice location:
  • Phone: 513-509-0604
  • Fax: 513-672-1044
Mailing address:
  • Phone: 513-509-0604
  • Fax: 513-672-1044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number State

VIII. Authorized Official

Name: NATASHA YOUNG
Title or Position: DIRECTOR
Credential:
Phone: 513-509-0604