Organization Active NPI

On Demand Counseling Lab

  • Clinical Pathology/Laboratory Medicine Physician
  • Austintown, OH
National Provider Identifier
1194299198
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
Legal business name
ON DEMAND COUNSELING LAB
Practice address
5760 Patriot Blvd
Austintown, OH 44515
Phone
(330) 270-3660
Fax
(330) 270-2690
NPI assigned
Jan 14, 2019
Last updated
Jan 14, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ON DEMAND COUNSELING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Authorized official

Name
Mr. Thomas Ivany
Title
Owner
Phone
(330) 270-3660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X Primary

Addresses

Primary practice location

5760 Patriot Blvd
Austintown, OH 44515

Mailing address

102 Westchester Dr
Austintown, OH 44515-3963
Phone (330) 270-3660

Other identifiers 1

IdentifierTypeStateIssuer
0246535MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
On Demand Counseling Lab2 organizations share this tax ID, including this one
Part of
On Demand Counseling Lab

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1194299198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WESTCHESTER DR",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445153963",
            "telephone_number": "330-270-3660",
            "fax_number": "330-270-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 PATRIOT BLVD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "44515",
            "telephone_number": "330-270-3660",
            "fax_number": "330-270-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON DEMAND COUNSELING LAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ON DEMAND COUNSELING LLC",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "IVANY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-270-3660",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0246535",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.