Ischemia Care, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

36D2039784 Issued in OH

Legal business name

ISCHEMIA CARE, LLC

Practice address

6960 Cornell Rd
Blue Ash, OH 45242-3025

Phone

(513) 827-9106

NPI assigned

Feb 14, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeff Gerard June

Title

Ceo

Phone

(513) 827-9106

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1013256817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 S COLLEGE AVE",
            "address_2": "STE B",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450562217",
            "telephone_number": "513-827-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 CORNELL RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452423025",
            "telephone_number": "513-827-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISCHEMIA CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "JUNE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-827-9106",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D2039784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.