NPIMap

Organization Active NPI

Progressive Rolling Hills LLC

Doing business as Pearlview - Laboratory

  • Clinical Medical Laboratory
  • Brunswick, OH
National Provider Identifier
1346401114
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
36D0339601 Issued in OH
Legal business name
PROGRESSIVE ROLLING HILLS LLC
Doing business as
Pearlview - Laboratory
Practice address
4426 Homestead Dr
Brunswick, OH 44212-2506
Phone
(330) 225-9121
NPI assigned
Jun 24, 2008
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PROGRESSIVE QUALITY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mr. Shaul Flank
Title
Chief Operating Officer
Phone
(216) 661-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 36D0339601 OH Primary

Addresses

Primary practice location

4426 Homestead Dr
Brunswick, OH 44212-2506

Mailing address

4426 Homestead Dr
Brunswick, OH 44212-2506
Phone (330) 225-9121

Other names 1

  • Pearlview - Laboratory Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pearlview - Laboratory2 organizations share this tax ID, including this one
Part of
Progressive Quality Care Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1346401114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 HOMESTEAD DR",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122506",
            "telephone_number": "330-225-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4426 HOMESTEAD DR",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442122506",
            "telephone_number": "330-225-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE ROLLING HILLS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSIVE QUALITY CARE",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "FLANK",
        "authorized_official_first_name": "SHAUL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "216-661-6800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0339601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearlview - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brunswick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.