Provider Demographics
NPI:1508035700
Name:TOTAL DIAGNOSTICS LAB
Entity Type:Organization
Organization Name:TOTAL DIAGNOSTICS LAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VEDANT
Authorized Official - Middle Name:ARUN
Authorized Official - Last Name:GUPTA
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:513-505-7092
Mailing Address - Street 1:7798 READING RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-2141
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7798 READING RD
Practice Address - Street 2:SUITE 4
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-2141
Practice Address - Country:US
Practice Address - Phone:513-761-3375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory