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NPI Code Detail

MEDICARE: ORION AUSTINBURG LLC

MEDICARE: ORION AUSTINBURG LLC
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 Laboratory36D0919353OH

General Provider Information

NPI Number : 1053565093
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORION AUSTINBURG LLC
Provider Business Mailing Address
First Line : 2026 STATE ROUTE 45
Second Line :
City : AUSTINBURG
State : OH
Zip : 44010-9711
Country : US
Telephone Number : 440-275-3019
Fax Number :
Provider Business Practice Location Address
First Line : 2026 STATE ROUTE 45
Second Line :
City : AUSTINBURG
State : OH
Zip : 44010-9711
Country : US
Telephone Number : 440-275-3019
Fax Number :
Authorized Official
Title or Position : CONTROLLER
Name : MR. DENNIS LOCKHART
Credential :
Telephone Number : 614-416-0600
Provider Enumeration Date : 11/04/2008
Last Update Date : 11/04/2008

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Directions to “ORION AUSTINBURG LLC ” Practice Location

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