Providence Medical Group
Providence Medical Group is a Clinical Medical Laboratory in Moraine, Ohio. Licensed in Ohio. Registered with an NPI since 2008.
- Licensed in
- OH
- In the registry since
- 2008
Practice location Address checks out
2912 Springboro W Ste 203Moraine, OH 45439-1674
Phone: (937) 297-8999
Fax: (937) 298-9673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X · Licence 016189 (OH) |
|---|
Record details
| NPI number | 1760658371 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Providence Medical Group |
| Authorized official | Shirley Pfeiffer — Credentialing Coordinator · (937) 297-8999 |
| Other names | Pmg Lab |
| NPI enumerated | May 3, 2008 |
| Last updated in NPPES | November 26, 2014 |
| Mailing address | 2912 Springboro W, Suite 203, Moraine, OH 45439-1674 |
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2308 Sandridge Dr, Moraine, OH 45439-1847 · (937) 296-0844