FORUM HEALTH OUTREACH LABORATORIES, INC.


Address: 811 Southwestern Run, Youngstown, OH 44514-3688
Phone: 3306298033

FORUM HEALTH OUTREACH LABORATORIES, INC. (NPI# 1467449124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467449124
Entity Type Organization
Organization Name FORUM HEALTH OUTREACH LABORATORIES, INC.
Other Organization Name CLIN LAB
Practice Address 811 Southwestern Run
Youngstown
OH 44514-3688
Practice Telephone 3306298033
Practice Fax Number 3306299952
Mailing Telephone 3306298033
Mailing Fax Number 3306299952
Enumeration Date 2005-09-28
Last Update Date 2008-01-15
Authorized Official Name MR. MICHAEL G SEELMAN (CHIEF OPERATING OFFICER)
Authorized Official Telephone 3308413540
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory OH Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
OH 0578343 05

Other Provider/Organization Names

Other Name Type Code
Clin Lab Former Legal Business Name - Organization

Office Location

Street Address 811 SOUTHWESTERN RUN
City YOUNGSTOWN
State OH
Zip Code 44514-3688

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NPI Name Taxonomy Address Enumeration
1811201981 Ahs Ohio Clinical Laboratories, LLC Clinical Medical Laboratory 811 Southwestern Run, Youngstown, OH 44514-3688 2010-08-01

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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.

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1114329109 Independent Lab Services Clinical Medical Laboratory 590 E Western Reserve Rd, Building 5, Youngstown, OH 44514-3354 2014-09-22
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Competitor

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City YOUNGSTOWN
Zip Code 44514

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Dataset Information

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.

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