Medticare Testing Clinic
Clinic/Center in Fairfield, OH. Organization (NPI-2).
NPI number1699533406
StatusActive
Last updated in NPPESMar 11, 2024
Details
- NPI
- 1699533406
- Entity type
- Organization (NPI-2)
- Legal business name
- Medticare Testing Clinic
- Organization subpart
- No
- Enumeration date
- Mar 7, 2024
- Certification date
- Mar 11, 2024
- Last updated
- Mar 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Medticare Testing Clinic (Doing Business As)
Practice location
3905 Mack RdFairfield, OH 45014-7659
Phone 513-663-0607
Mailing address
3905 Mack Rd Apt 68Fairfield, OH 45014-6670
Phone 513-663-0607
Authorized official
Tinashia Shanice Brunner
Ceo
5136630607
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