Organization Active NPI

First Love Laboratory

  • Clinical Medical Laboratory
  • Richmond Heights, OH
National Provider Identifier
1215521562
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FIRST LOVE LABORATORY
Practice address
4933 Monticello Blvd
Richmond Heights, OH 44143-2847
Phone
(216) 224-4113
NPI assigned
Feb 26, 2021
Last updated
Apr 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Tonika Johnson, LPNNPI 1316597875
Title
Ceo
Phone
(216) 224-4113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4933 Monticello Blvd
Richmond Heights, OH 44143-2847

Mailing address

4933 Monticello Blvd
Richmond Heights, OH 44143-2847
Phone (216) 224-4113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210416001461 OH Part B Supplier - Mass Immunization (Roster Biller Only) 8426466244 Practice locations: Richmond Heights, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1215521562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4933 MONTICELLO BLVD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441432847",
            "telephone_number": "216-224-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4933 MONTICELLO BLVD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441432847",
            "telephone_number": "216-224-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST LOVE LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TONIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-224-4113",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.