Active NPI
University Hospitals Laboratory Services Foundation
- Clinical Medical Laboratory
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION
- Practice address
- 11100 Euclid Ave
Path 5077
Cleveland, OH 44106-1716 - Phone
- (216) 844-5227
- NPI assigned
- Aug 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Schillero
- Title
- Director, FP&a
- Phone
- (216) 767-8141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
11100 Euclid Ave
Path 5077
Cleveland, OH 44106-1716
Mailing address
PO Box 772930
Detroit, MI 48277-2930
Phone (216) 844-5227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0195926 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/Documentsubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040116000117 | OH | Part B Supplier - Independent Clinical Laboratory | 1355242090 |
1 other NPI on this enrollment Practice locations: Cleveland, OH; Wadsworth, OH; Fairlawn, OH; Beachwood, OH |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Center of Human Genetics Laboratory
- Clinical Medical Laboratory
- Cleveland, OH
- NPI 1891025284
O20040116000117
National Provider Directory
National Provider Directory- Tax ID family
- Univ Hosp Laboratory SE
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba University Hospital Translational Hospital
- Clinical Medical Laboratory
- Cleveland, OH
- NPI 1295007011
-
dba CIDEM Uiversity Hospitals Laboratory
- Clinical Medical Laboratory
- Cleveland, OH
- NPI 1578706438
-
dba Uhlsf-Sharon Health Center
- Clinical Medical Laboratory
- Wadsworth, OH
- NPI 1689953630
-
- Clinical Medical Laboratory
- Aurora, OH
- NPI 1861764227
Locations
Dept 781834
Detroit, MI 48278
50 Blaine Ave
Ste 2100
Bedford, OH 44146
Phone (440) 735-0891
5901 E Royalton Rd
Ste 1300
Broadview Heights, OH 44147
11100 Euclid Ave
Rm 1302
Cleveland, OH 44106
11100 Euclid Ave
#649
Cleveland, OH 44106
Phone (216) 983-1134
11100 Euclid Ave
Rm 1202
Cleveland, OH 44106
7100 Euclid Ave
Ste 190
Cleveland, OH 44103
Phone (216) 286-4283
11100 Euclid Ave
Ste 2200
Cleveland, OH 44106
10524 Euclid Ave
Ste 185
Cleveland, OH 44106
11100 Euclid Ave
Rm 1527
Cleveland, OH 44106
11100 Euclid Ave
Ste 646A
Cleveland, OH 44106
11100 Euclid Ave
Rm 187D
Cleveland, OH 44106
11100 Euclid Ave
Bldg 649
Cleveland, OH 44106
Phone (216) 983-1134
11400 Euclid Ave
Ste 100
Cleveland, OH 44106
Phone (216) 844-7223
96 Graham Rd
Ste A
Cuyahoga Falls, OH 44223
Phone (330) 929-1326
3800 Embassy Pkwy
Ste 160
Fairlawn, OH 44333
Phone (330) 664-8020
20800 Harvard Rd
Highland Hills, OH 44122
Phone (216) 744-7105
5778 Darrow Rd
Ste 201
Hudson, OH 44236
Phone (330) 655-2161
6150 Oak Tree Blvd
Independence, OH 44131
Phone (216) 518-1025
5850 Landerbrook Dr
Ste 200
Mayfield Heights, OH 44124
Phone (440) 446-9392
4001 Carrick Dr
Ste 130
Medina, OH 44256
8819 Commons Blvd
Ste 102
Twinsburg, OH 44087
Phone (330) 486-9670
5133 Ridge Rd
Wadsworth, OH 44281
Phone (330) 239-7210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714348800000",
"number": "1619980430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 772930",
"city": "DETROIT",
"state": "MI",
"postal_code": "482772930",
"telephone_number": "216-844-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE",
"address_2": "PATH 5077",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061716",
"telephone_number": "216-844-5227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A",
"authorized_official_last_name": "SCHILLERO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "DIRECTOR, FP&A",
"authorized_official_telephone_number": "216-767-8141"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0195926",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/Documentsubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc.",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cleveland, OH
- University Hospitals Health System
- University Hospitals Health System
- University Hospitals Health System Inc
- University Hospitals Laboratory Service Foundation Dba: University Hos (University Hospital Translational Hospital)
- University Hospitals Laboratory Services Foundation (CIDEM Uiversity Hospitals Laboratory)
- University Hospitals Laboratory Services Foundation (Center of Human Genetics Laboratory)
- University Hospitals Medical Group
- University Hospitals Medical Group
- University Hospitals Medical Group Inc
- University Hospitals Medical Group, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.