ELYRIA CARDIAC CATH LAB, LLC (NPI# 1659304582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659304582 |
| Entity Type | Organization |
| Organization Name | ELYRIA CARDIAC CATH LAB, LLC |
| Other Organization Name | THE NORTH OHIO HEART LAB AT EMH |
| Practice Address |
630 E River St 4th Floor Elyria OH 44035-5902 |
| Practice Telephone | 4403294900 |
| Practice Fax Number | 4403294998 |
| Mailing Telephone | 4403294900 |
| Mailing Fax Number | 4403294998 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. HEATHER Q CASSIDY-DRAIN (CLINICAL OPERATIONS MANAGER) |
| Authorized Official Telephone | 4403294910 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2700018 | 05 |
| Other Name | Type Code |
|---|---|
| The North Ohio Heart Lab at EMH | Doing Business As Name - Organization |
| Street Address |
630 E RIVER ST 4TH FLOOR |
| City | ELYRIA |
| State | OH |
| Zip Code | 44035-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841299039 | Emh Regional Medical Center | General Acute Care Hospital | 630 E River St, Elyria, OH 44035-5902 | 2005-07-19 |
| 1467069989 | James Kellogg II | Physician Assistant | 630 E River St, Elyria, OH 44035-5902 | 2020-09-29 |
| 1326651761 | Vicki J Sexstella | Respiratory Therapist, Registered | 630 E River St, Elyria, OH 44035-5902 | 2020-08-25 |
| 1003434952 | Bretzyl M Liscoe | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2020-07-08 |
| 1760009633 | Ashley Tobicash | Family Medicine | 630 E River St, Elyria, OH 44035-5902 | 2020-06-26 |
| 1144843673 | Johnna Diaz | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2020-05-19 |
| 1295357911 | Denise N Dalton | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2020-05-15 |
| 1568094530 | Lori Clark | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2020-02-07 |
| 1467083501 | Debora Petani | Physician Assistant | 630 E River St, Elyria, OH 44035-5902 | 2020-01-28 |
| 1487292272 | Amy S Newton | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2019-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912356726 | Ordinary24, LLC | Physiological Laboratory | 4301 Darrow Rd, Suite 4400a, Stow, OH 44224-2694 | 2016-06-13 |
| 1508239161 | Mccullough Hyde Memorial Hospital Inc | Physiological Laboratory | 79 W Central Ave Ste 2, Camden, OH 45311-1007 | 2015-11-04 |
| 1689077125 | Self-employed | Physiological Laboratory | 95b Barley Dr, Painesville, OH 44077-5349 | 2014-09-29 |
| 1689000580 | American Mobile X-ray, LLC | Physiological Laboratory | 6802 Menz Ln, Cincinnati, OH 45233-4311 | 2013-09-24 |
| 1669731865 | Zin Medical Inc | Physiological Laboratory | 10000 Cedar Ave, Suite 2-131 Mail Stop #17, Cleveland, OH 44106-2103 | 2012-05-08 |
| 1013140524 | The Cos Companies | Physiological Laboratory | 820 S North St, Washington Court House, OH 43160-2262 | 2009-08-31 |
| 1285808071 | Specialized Pulse Oximetry Testing Service, LLC | Physiological Laboratory | 1436 Yankee Park Pl # K, Dayton, OH 45458-1899 | 2008-04-14 |
| 1831303551 | Trendy Oximetry Ltd | Physiological Laboratory | 6048l W Central Ave, Toledo, OH 43615-1872 | 2007-05-10 |
| 1063539062 | Neumed | Physiological Laboratory | 9906 Norwalk Rd, Litchfield, OH 44253-9502 | 2007-03-23 |
| 1316075179 | King's Medical Imaging At Watermark, LLC | Physiological Laboratory | 5339 Hendron Rd, Groveport, OH 43125-1055 | 2007-03-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.