Self-Employed

Physiological Laboratory · Painesville, OH

Organization Active NPI

NPI number 1689077125

Practice location

95b Barley Dr
Painesville, OH 44077-5349
Phone
(440) 251-9701

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NPI record

NPI
1689077125
Entity type
Organization (Type 2)
Enumeration date
September 29, 2014
Last updated
September 29, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physiological Laboratory Primary 293D00000X 47 OH

Authorized official

Name
Delmesha Jackson, HOMEHEALTH
Title
Stna
Phone
(440) 251-9701

About Self-Employed

Self-Employed is a healthcare organization registered in the NPI registry with the primary taxonomy Physiological Laboratory (code 293D00000X). The practice location is 95b Barley Dr, Painesville, OH 44077-5349. The NPI number 1689077125 was assigned on September 29, 2014 and the record was last updated on September 29, 2014.

Self-Employed lists a license in the registry: #47 (OH) for Physiological Laboratory. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Delmesha Jackson, HOMEHEALTH, Stna.

Frequently asked questions

What is the NPI number of Self-Employed?

The NPI number is 1689077125.

What is the phone number of Self-Employed?

The phone number listed for the practice location is (440) 251-9701.

Where is Self-Employed located?

95b Barley Dr, Painesville, OH 44077-5349.

What is the taxonomy code for Self-Employed?

The primary taxonomy code is 293D00000X – Physiological Laboratory.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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