Unknown Individual – Clinical Medical Laboratory, NPI 1023278462

Unknown Individual is a healthcare provider. based in Moraine, Ohio. specializing in Clinical Medical Laboratory. The NPI Number for Unknown Individual is 1023278462

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1023278462
Phone
(937) 297-8253
Address
2308 SANDRIDGE DR
Deactivation Date
24 April 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2308, Sandridge Drive, Moraine, Montgomery County, Ohio, 45439, United States

    MORAINE, OH 454391847

    Phone: (937) 297-8253

    Fax: (937) 297-8229

    Type: Mailing

  • 1382, East Stroop Road, Oakdale, Kettering, Montgomery County, Ohio, 45429, United States

    KETTERING, OH 454294926

    Phone: (937) 293-8265

    Fax: (937) 297-8229

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45439)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1023278462.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Clinical Medical Laboratory in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Moraine, Ohio in our summary view.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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