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General NPI Number Information
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NPI Number | 1811201981
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Entity Type | Organization
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Legal Business Name | AHS OHIO CLINICAL LABORATORIES, LLC
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Dates
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Enumeration Date | 08/01/2010
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Last Update Date | 08/01/2010
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Provider Practice Location Address
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Address Line | 811 SOUTHWESTERN RUN
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City | YOUNGSTOWN
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State | OH
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Zip | 44514-3688
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Country | US
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Telephone | 330-629-8033
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BURTON HILLS BLVD SUITE 250
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City | NASHVILLE
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State | TN
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Zip | 37215-6293
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SENIOR VP AND SECRETARY
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Name | STEPHEN PETROVICH
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Credential |
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Telephone | 615-296-3000
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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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