Whalio Doctors

NPI 1700194024

Ethos Holding Corp.

Organisation Clinical Medical Laboratory Fairfield, OH

Practice location

Address
3978 Mack Rd, Fairfield, OH 45014-5574
Phone
(513) 314-3700
Fax
(513) 672-0100

Authorised official

Name
Tim Adams
Title
Cfo
Phone
(916) 616-2893

Registered specialties

Clinical Medical Laboratory Primary
Laboratories Taxonomy 291U00000X Licence 36D2012974 (OH)

Registry record

NPI
1700194024
Entity type
Organization
NPI issued
21 Sep 2010
Record last updated
21 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.