PROVIDENCE MEDICAL GROUP

Clinical Medical Laboratory

Active Organization
NPI: 1760658371

Practice Address

2912 SPRINGBORO W
SUITE 203
Moraine, OH 45439

Phone: (937) 297-8999

Specialties

Specialty Code Primary License
Clinical Medical Laboratory 291U00000X Yes 016189 (OH)

Frequently Asked Questions

NPI 1760658371 is the National Provider Identifier for PROVIDENCE MEDICAL GROUP, a Clinical Medical Laboratory provider located in Moraine, OH. This NPI was enumerated on May 3, 2008.

Quick Facts

NPI
1760658371
Type
Organization
Enumerated
May 3, 2008
Last Updated
Nov 26, 2014

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