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NPI Code Detail

MEDICARE: ZEERAK MTI LLC

MEDICARE: ZEERAK MTI 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 Laboratory

General Provider Information

NPI Number : 1730021239
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZEERAK MTI LLC
Provider Business Mailing Address
First Line : 2775 ORCHARD RUN RD
Second Line :
City : DAYTON
State : OH
Zip : 45449-2831
Country : US
Telephone Number : 913-204-0167
Fax Number :
Provider Business Practice Location Address
First Line : 2775 ORCHARD RUN RD
Second Line :
City : DAYTON
State : OH
Zip : 45449-2831
Country : US
Telephone Number : 913-204-0167
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. WILLARD SOWDER
Credential :
Telephone Number : 913-204-0167
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ZEERAK MTI LLC ” Practice Location

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