Organization Active NPI

University Hospitals Laboratory Services Foundation

  • Clinical Medical Laboratory
  • Cleveland, OH
National Provider Identifier
1619980430
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Apr 29, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0195926MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory
Tax ID family
Univ Hosp Laboratory SE5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

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

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.

Verify at the official NPI Registry.