NPIMap

Organization Active NPI

Bradley Bay Health Center

  • Clinical Medical Laboratory
  • Bay Village, OH
National Provider Identifier
1154583946
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
36D0339064 Issued in OH
Legal business name
BRADLEY BAY HEALTH CENTER
Practice address
605 Bradley Rd
Bay Village, OH 44140-1670
Phone
(440) 871-3474
NPI assigned
Jul 2, 2008
Organization subpart
Yes
Parent organization
O'NEILL MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Mr. John T. O'Neill
Title
Managing Member
Phone
(440) 327-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 36D0339064 OH Primary

Addresses

Primary practice location

605 Bradley Rd
Bay Village, OH 44140-1670

Mailing address

605 Bradley Rd
Bay Village, OH 44140-1670
Phone (440) 871-3474

Other names 1

  • Bradley Bay - Laboratory Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bradley Bay - Laboratory2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

605 Bradley Rd
Cleveland, OH 44140
Phone (440) 328-8141

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1154583946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 BRADLEY RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441401670",
            "telephone_number": "440-871-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 BRADLEY RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441401670",
            "telephone_number": "440-871-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY BAY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "O'NEILL MANAGEMENT",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "440-327-9777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0339064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradley Bay - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.