Fairfield Cardiac Cath Lab
Clinic/Center in Fairfield, OH. Organization (NPI-2).
NPI number1497823975
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1497823975
- Entity type
- Organization (NPI-2)
- Legal business name
- Fairfield Cardiac Cath Lab
- Organization subpart
- No
- Enumeration date
- Dec 1, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
3000 Mack RoadSuite 200
Fairfield, OH 45014
Phone 513-603-8888
Mailing address
3000 Mack RoadSuite 200
Fairfield, OH 45014
Phone 513-603-8888
Authorized official
Brenda L Vandeventer
Executive Director
5136038888
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