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General NPI Number Information
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NPI Number | 1679123970
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Entity Type | Organization
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Legal Business Name | COMPUNET CLINICAL LABORATORIES LLC
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Dates
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Enumeration Date | 09/18/2019
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 300 AUSTIN WEST BLVD
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City | MIAMISBURG
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State | OH
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Zip | 45342-7519
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Country | US
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Telephone | 937-388-7940
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Fax |
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Provider Business Mailing Address
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Address Line | 2308 SANDRIDGE DR
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City | MORAINE
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State | OH
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Zip | 45439-1856
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Country | US
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Telephone | 937-297-8253
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Fax |
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Authorized Official
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Title or Position | REVENUE CYCLE DIRECTOR
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Name | CINDY SMOTHERMAN
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Credential |
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Telephone | 513-307-0748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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