Provider Demographics
NPI:1093401481
Name:INNOSIGN, INC.
Entity Type:Organization
Organization Name:INNOSIGN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, US OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:GUNSELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:513-972-4621
Mailing Address - Street 1:5155 FINANCIAL WAY STE 17
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-7507
Mailing Address - Country:US
Mailing Address - Phone:513-972-4621
Mailing Address - Fax:
Practice Address - Street 1:5155 FINANCIAL WAY STE 17
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-7507
Practice Address - Country:US
Practice Address - Phone:513-972-4621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory MedicineGroup - Single Specialty