MEDICARE: PANDORA S9 INC

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

General Provider Information

NPI Number	:	1841999778
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PANDORA S9 INC

Provider Business Mailing Address
First Line	:	10234 ALLIANCE RD
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45242-4710
Country	:	US
Telephone Number	:	513-440-7396
Fax Number	:

Provider Business Practice Location Address
First Line	:	10234 ALLIANCE RD
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45242-4710
Country	:	US
Telephone Number	:	513-440-7396
Fax Number	:

Authorized Official
Title or Position	:	LABORATORY DIRECTOR
Name	:	DR. STEPHEN JAMES JORDAN
Credential	:	MD, PHD
Telephone Number	:	317-274-8110

Provider Enumeration Date	:	02/28/2023
Last Update Date	:	04/30/2026

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Directions to “PANDORA S9 INC ” Practice Location

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