NPIMap

Organization Active NPI

Serene Residentials LLC

  • Clinical Medical Laboratory
  • Delaware, OH
National Provider Identifier
1215680681
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SERENE RESIDENTIALS LLC
Practice address
205 Delaware Dr
Delaware, OH 43015-2570
Phone
(614) 556-9024
NPI assigned
Jan 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Mrs. Annita AjebeNPI 1255165585
Title
Member
Phone
(614) 556-9024

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

205 Delaware Dr
Delaware, OH 43015-2570

Mailing address

205 Delaware Dr
Delaware, OH 43015-2570
Phone (614) 556-9024

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": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1215680681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 DELAWARE DR",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152570",
            "telephone_number": "614-556-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 DELAWARE DR",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152570",
            "telephone_number": "614-556-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE RESIDENTIALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "AJEBE",
        "authorized_official_first_name": "ANNITA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "614-556-9024",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.