MEDICARE: COMPUNET CLINICAL LABORATORIES, 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
1	291U00000X	Clinical Medical Laboratory

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	690002971	OTHER	OH	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1245498633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPUNET CLINICAL LABORATORIES, LLC

Provider Business Mailing Address
First Line	:	2308 SANDRIDGE DR
Second Line	:
City	:	MORAINE
State	:	OH
Zip	:	45439-1847
Country	:	US
Telephone Number	:	937-297-8253
Fax Number	:	937-297-8229

Provider Business Practice Location Address
First Line	:	2400 MIAMI VALLEY DR
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-4774
Country	:	US
Telephone Number	:	937-438-2402
Fax Number	:	937-297-8229

Authorized Official
Title or Position	:	REVENUE CYCLE DIRECTOR
Name	:	CINDY SMOTHERMAN
Credential	:
Telephone Number	:	513-307-0748

Provider Enumeration Date	:	06/02/2008
Last Update Date	:	01/09/2026

Similar Medicare Providers

1972461283 — AMBER NICOLE LASSO RN
Practice Location Address:

2400 MIAMI VALLEY DR
CENTERVILLE, OH
45459-4774

Practice Phone: 937-438-2400
Practice Fax:

1871599357 — DR. DAVID PROPST D.O.
Practice Location Address:

2400 MIAMI VALLEY DR , STE 160
CENTERVILLE, OH
45459-4774

Practice Phone: 937-312-1661
Practice Fax: 937-312-1701

1912924861 — DR. PATRICK U MEZU MD
Practice Location Address:

2400 MIAMI VALLEY DR
CENTERVILLE, OH
45459-4774

Practice Phone: 937-660-6907
Practice Fax: 937-350-6477

1902823867 — EDGAR R SANTILLAN M.D.
Practice Location Address:

2400 MIAMI VALLEY DR
CENTERVILLE, OH
45459-4774

Practice Phone: 937-556-4324
Practice Fax: 937-439-3786

1225159056 — ANESTHESIOLOGY SERVICES NETWORK
Practice Location Address:

2400 MIAMI VALLEY DR , SUITE 2000
CENTERVILLE, OH
45459-4774

Practice Phone: 937-208-4380
Practice Fax: 937-208-3843

1962623587 — MRS. KATIE MARIE WESER MED, AT, ATC, CSCS
Practice Location Address:

2400 MIAMI VALLEY DR # 160
CENTERVILLE, OH
45459-4774

Practice Phone: 937-312-1661
Practice Fax:

Directions to “COMPUNET CLINICAL LABORATORIES, LLC ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.