Active NPI
On Demand Counseling Lab
- Clinical Pathology/Laboratory Medicine Physician
- Austintown, OH
National Provider Identifier
1194299198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- 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, 2019
- Organization subpart
- Yes
- Parent organization
- ON DEMAND COUNSELING LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0246535 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- On Demand Counseling Lab
- 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.
-
- Community/Behavioral Health Agency
- Austintown, OH
- NPI 1639793938
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
- Nicole O'Neill
- William Odem, CDCA
- Ohio Podiatric Physicians and Surgeons Group, LLC
- Crystal Gail Oller, APRN, CPNP-PC
- On Demand Chiropractic
- On Demand Counseling LLC
- On Demand Counseling LLC
- On Demand Immediate Care, LLC (On Demand Primary Care)
- On Demand Medical Services LLC
- On Demand Opiate Recovery, LLC
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.