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NPI Code Detail

MEDICARE: LAB ON THE GO

MEDICARE: LAB ON THE GO
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 : 1033406947
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAB ON THE GO
Provider Business Mailing Address
First Line : 8044 MONTGOMERY RD STE 700
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2926
Country : US
Telephone Number : 888-550-8385
Fax Number :
Provider Business Practice Location Address
First Line : 8044 MONTGOMERY RD STE 700
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2926
Country : US
Telephone Number : 888-550-8385
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. DARNETTA METCALF
Credential : LPN
Telephone Number : 513-295-4825
Provider Enumeration Date : 06/30/2011
Last Update Date : 06/30/2011

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Directions to “LAB ON THE GO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.