KETTERING REPRODUCTIVE LABORATORY INC (NPI# 1407172042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407172042 |
| Entity Type | Organization |
| Organization Name | KETTERING REPRODUCTIVE LABORATORY INC |
| Practice Address |
3533 Southern Blvd Ste 4100 Kettering OH 45429-1264 |
| Mailing Address |
8210 Macedonia Commons Blvd Ste 68-105 Macedonia OH 44056-1860 |
| Practice Telephone | 3306877975 |
| Mailing Telephone | 3306877975 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |
| Authorized Official Name | MAXIM E RYGOVSKIY (PRESIDENT) |
| Authorized Official Telephone | 3306877975 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 36D0957636 | OH | Laboratories |
| Street Address |
3533 SOUTHERN BLVD STE 4100 |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-1264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630137 | V. Joseph Karnitis | Obstetrics & Gynecology | 3533 Southern Blvd, Suite 4100, Kettering, OH 45429-1264 | 2005-06-24 |
| 1881208346 | Alexander John Armstrong | Physician Assistant | 3533 Southern Blvd, Kettering, OH 45429-1264 | 2020-09-02 |
| 1740739051 | Angela Yost | Nurse Practitioner | 3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1264 | 2016-09-27 |
| 1215385968 | Angela Ponder | Dietitian, Registered | 3533 Southern Blvd, Suite 3750, Kettering, OH 45429-1264 | 2016-06-02 |
| 1992175798 | Megan Haas | Physician Assistant | 3533 Southern Blvd, Suite 5650, Kettering, OH 45429-1264 | 2015-10-06 |
| 1578931564 | Brian Wesche | Nurse Anesthetist, Certified Registered | 3533 Southern Blvd, Suite 3400, Kettering, OH 45429-1264 | 2015-09-08 |
| 1932577012 | Brooke Marie Obrien | Nurse Anesthetist, Certified Registered | 3533 Southern Blvd, Suite 3400, Kettering, OH 45429-1264 | 2015-09-08 |
| 1841682499 | Keith A Rooker | Nurse Anesthetist, Certified Registered | 3533 Southern Blvd, Ste 400, Kettering, OH 45429-1264 | 2015-02-19 |
| 1770972804 | Kristen Roth | Nurse Anesthetist, Certified Registered | 3533 Southern Blvd, Suite 3400, Kettering, OH 45429-1264 | 2015-01-13 |
| 1841600574 | Riyad J Tayim | Surgery | 3533 Southern Blvd, Ste 2250, Kettering, OH 45429-1270 | 2014-05-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023278462 | Compunet Clinical Laboratories LLC | Clinical Medical Laboratory | 1382 E Stroop Rd, Kettering, OH 45429-4926 | 2008-06-10 |
| 1598760035 | Compunet Clinical Laboratories LLC | Clinical Medical Laboratory | 3737 Southern Boulevard, Suite 3200, Kettering, OH 45429-1225 | 2005-06-20 |
| 1083189443 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3700 Southern Blvd, Kettering, OH 45429-1226 | 2018-10-11 |
| 1134510175 | Gem City Clinical Laboratory, LLC | Clinical Medical Laboratory | 3560 Marshall Rd, Suite 1, Kettering, OH 45429-4916 | 2015-02-12 |
| 1871899831 | Diatherix Laboratories LLC | Clinical Medical Laboratory | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2011-02-08 |
| 1790995587 | Compunet Clinical Laboratories, LLC | Clinical Medical Laboratory | 3120 Governors Place Blvd, Kettering, OH 45409-1328 | 2007-05-23 |
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|---|---|---|---|---|
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| 1033724109 | Mobility Health, LLC | Clinical Medical Laboratory | 5155 Financial Way Ste 1, Mason, OH 45040-7507 | 2020-09-15 |
| 1649882028 | Quest Diagnostics | Clinical Medical Laboratory | 7777 St Rt 23, Ste A, Piketon, OH 45661 | 2020-08-18 |
| 1063023612 | Quest Diagnostics | Clinical Medical Laboratory | 621 Broadway St Ste A, Portsmouth, OH 45662-4788 | 2020-08-16 |
| 1699384412 | Cleveland Diagnostics, Inc. | Clinical Medical Laboratory | 3615 Superior Ave E Ste 4407b, Cleveland, OH 44114-4139 | 2020-07-28 |
| 1922616168 | Quest Diagnostics | Clinical Medical Laboratory | 14590 State Route 93 Ste A, Jackson, OH 45640-8977 | 2020-07-14 |
| 1053937219 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 23030 State Route 73 Ste A, West Portsmouth, OH 45663-8861 | 2020-06-23 |
| 1942832084 | M1 Labs, LLC | Clinical Medical Laboratory | 1330 State Route 14, Columbiana, OH 44408 | 2020-02-06 |
| 1679123970 | Compunet Clinical Laboratories LLC | Clinical Medical Laboratory | 300 Austin West Blvd, Miamisburg, OH 45342-7519 | 2019-09-18 |
| 1780240788 | Access Hospital Dayton Lab LLC | Clinical Medical Laboratory | 2611 Wayne Ave Bldg 63, Dayton, OH 45420-1833 | 2019-05-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.