East Park Care Center

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

36D0339113 Issued in OH

Legal business name

EAST PARK CARE CENTER

Doing business as

East Park Care - Laboratory

Practice address

8 E Park Cir
Brook Park, OH 44142-3800

Phone

(216) 267-7229

NPI assigned

Jul 8, 2008

Last updated

Jul 8, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

J&R ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Bob Nemetz

Title

Controller

Phone

(440) 250-4080

Specialties & licenses 1

Addresses

Other names 1

• East Park Care - 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

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1578726733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 E PARK CIR",
            "city": "BROOK PARK",
            "state": "OH",
            "postal_code": "441423800",
            "telephone_number": "216-267-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E PARK CIR",
            "city": "BROOK PARK",
            "state": "OH",
            "postal_code": "441423800",
            "telephone_number": "216-267-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PARK CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "J&R ASSOCIATES",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "NEMETZ",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "440-250-4080"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0339113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Park Care - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy A Domanowski, DPM
• David John Donofrio, APRN
• DRS. Hill & Thomas Co. (Westside Imaging Center)
• Kevin Michael Duffy, CDCA
• Tiffany Anne Duttko
• East Park Operations LLC (East Park Care Community)
• East Park Operations LLC (East Park Care Community)
• East Park Operations LLC (East Park Care Community)
• East Park Retirement Community Inc
• Briana Echevarria

• Clinical Medical Laboratory in Brookpark, OH
• Providers in Brookpark, 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 Jul 8, 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.