One provider matched this Medicaid ID.
Ohio Medicaid ID 0108856 resolves to a single NPI record. Open the full profile for complete detail.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
Other
- 36D0338636OH· Issued by CLIA
- 26D0440143MO· Issued by CLIA
- 36D0346978OH· Issued by CLIA
- 18D1080513KY· Issued by CLIA
- 36D0904468OH· Issued by CLIA
- 23D2045786MI· Issued by CLIA
- 14D0419196IL· Issued by CLIA
- 15D2047655IN· Issued by CLIA
Source: NPPES public registry.
Medicare enrollment
This provider holds 6 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Part B Supplier
- O20140731002804Independent Clinical LaboratoryMI
- O20140805001671Independent Clinical LaboratoryOH
- O20141106000105Independent Clinical LaboratoryIN
- O20141107001492Independent Clinical LaboratoryMO
- O20141119000823Independent Clinical LaboratoryIL
- O20150204001994Independent Clinical LaboratoryKY
Source: CMS PECOS public enrollment file.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.