Provider Demographics
NPI:1376106021
Name:CLARITI DIAGNOSTICS LABORATORIES
Entity Type:Organization
Organization Name:CLARITI DIAGNOSTICS LABORATORIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:EPHRAM
Authorized Official - Last Name:LANDAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-756-0000
Mailing Address - Street 1:3492 SNOUFFER RD STE 210
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-3262
Mailing Address - Country:US
Mailing Address - Phone:513-973-0062
Mailing Address - Fax:
Practice Address - Street 1:3492 SNOUFFER RD STE 210
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-3262
Practice Address - Country:US
Practice Address - Phone:513-973-0062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH36D2162956OtherCLIA