Lakewood Senior Health Campus

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

36D0336091 Issued in OH

Legal business name

LAKEWOOD SENIOR HEALTH CAMPUS

Doing business as

Lakewood - Laboratory

Practice address

13900 Detroit Ave
Lakewood, OH 44107-4624

Phone

(216) 228-7650

NPI assigned

Nov 11, 2008

Last updated

Nov 11, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

O'NEILL MANAGEMENTAs reported in NPPES

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

Addresses

Other names 1

• Lakewood - Laboratory Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Lakewood Senior Health Campus3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Lakewood Senior Campus, LLC

  dba Lakewood Senior Health Campus

  • Skilled Nursing Facility
  • Lakewood, OH
  • NPI 1114935392
  NPD tax ID
• Lakewood Senior Campus, LLC

  dba O'Neill Healthcare Lakewood

  • Assisted Living Facility
  • Lakewood, OH
  • NPI 1255188124
  NPD tax ID

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1275787798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13900 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074624",
            "telephone_number": "216-228-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074624",
            "telephone_number": "216-228-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD SENIOR HEALTH CAMPUS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "O'NEILL MANAGEMENT",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "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": "36D0336091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakewood Hospital Professional Services
• Lakewood Pain Management & Chiropractic LLC
• Lakewood Pediatrics
• Lakewood Senior Campus, LLC (Lakewood Senior Health Campus)
• Lakewood Senior Campus, LLC (O'Neill Healthcare Lakewood)
• Lakewood Smiles
• Martin Man Ting Lam, DO
• Jeffrey Michael Lambert-Shemo, AT
• Alisha Lambert, LPC
• Jerome Lamendola

• Clinical Medical Laboratory in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.