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MAHAJAN THERAPEUTICS, LLC
NPI 1730719543
Clinic/Center - Primary Care in Dayton, OH

Active since January 21, 2020CLIA Certified · 2 labs
6300 N MAIN ST, DAYTON, OH 45415(937) 275-1500(937) 275-1555 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2024, May 2, 2023, Jan 21, 2020 (3 updates tracked since 2020).

About Mahajan Therapeutics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAHAJAN THERAPEUTICS, LLC (NPI 1730719543) is a healthcare organization registered as a primary care in Dayton, Ohio and active in the NPI registry since January 2020. The organization holds 2 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1730719543
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMAHAJAN THERAPEUTICS, LLC
Location Address6300 N MAIN STDayton, OH 45415-3154
Mailing Address6300 N Main StDayton, OH 45415-3154 · (937) 275-1500 · Fax (937) 275-1555
Phone(937) 275-1500
Fax(937) 275-1555
Organization SubpartYes
Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300
Enumeration DateJanuary 21, 2020
Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1730719543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
6300 N MAIN ST, Dayton, OH 45415
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1418 Center StWheelersburg, OH 45694-1712 · Phone (740) 776-2785
Location 26210 N Main StDayton, OH 45415-3111 · Phone (937) 275-1500
Location 32117 S 7th Street, Suites 3, 5, and 7Ironton, OH 45638 · Phone (740) 533-9922

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2154212

Mahajan Therapeutics, LLC · Ironton, OH
Active · expires Sep 6, 2026
CLIA Number36D2154212
Laboratory TypeNarcotic Treatment Center
Certificate Effective DateSeptember 7, 2024
Certificate Expiration DateSeptember 6, 2026
Laboratory DirectorAnna Rucker
Laboratory Phone(469) 830-8483
Laboratory LocationMahajan Therapeutics, LLC2117 South 7th St, Ironton, OH 45638
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2154215

Mahajan Therapeutics, LLC · Wheelersburg, OH
Active · expires Sep 6, 2026
CLIA Number36D2154215
Laboratory TypeNarcotic Treatment Center
Certificate Effective DateSeptember 7, 2024
Certificate Expiration DateSeptember 6, 2026
Laboratory DirectorAlicia Stewart
Laboratory Phone(469) 830-8483
Laboratory LocationMahajan Therapeutics, LLC418 Center Street, Wheelersburg, OH 45694
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAVANNAH SANDERSON
Case Manager/Care Coordinator
6300 N MAIN ST
DAYTON, OH 45415
Montgomery County (937) 275-1500
DONNIECE KOONTZ
Case Manager/Care Coordinator
6300 N MAIN ST
DAYTON, OH 45415
Montgomery County (937) 275-1500
PAMELA ERD
Licensed Practical Nurse
6300 N MAIN ST
DAYTON, OH 45415
Montgomery County (614) 505-6400
KIMBERLY HAWKINS
Case Manager/Care Coordinator
6300 N MAIN ST
DAYTON, OH 45415
Montgomery County (937) 275-1500
AMANDA MAYS
Case Manager/Care Coordinator
6300 N MAIN ST
DAYTON, OH 45415
Montgomery County (614) 505-6400
FELICIA HAILEY
Case Manager/Care Coordinator
6300 N MAIN ST
DAYTON, OH 45415
Montgomery County (937) 275-1500
JULIE COATES
Case Manager/Care Coordinator
6300 N MAIN ST
DAYTON, OH 45415
Montgomery County (937) 275-1500
MICHAEL METZGER
Social Worker
6300 N MAIN ST
DAYTON, OH 45415
Montgomery County (937) 275-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mahajan Therapeutics, LLC's NPI number?

The NPI number for Mahajan Therapeutics, LLC is 1730719543. It was assigned to this organization in the NPPES registry on January 21, 2020.

Where is Mahajan Therapeutics, LLC located?

Mahajan Therapeutics, LLC is located at 6300 N Main St, Dayton, OH 45415. The listed phone number is (937) 275-1500.

What is Mahajan Therapeutics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Mahajan Therapeutics, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mahajan Therapeutics, LLC accept?

Health plans from Molina Healthcare list Mahajan Therapeutics, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mahajan Therapeutics, LLC was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.