Elyria Cardiac Cath Lab, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

ELYRIA CARDIAC CATH LAB, LLC

Practice address

630 E River St
4TH Floor
Elyria, OH 44035-5902

Phone

(440) 329-4900

Fax

(440) 329-4998

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Heather Q Cassidy-Drain, RN

Title

Clinical Operations Manager

Phone

(440) 329-4910

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The North Ohio Heart Lab at EMH Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Emh Regional Medical Center

  • Home Health Agency
  • Elyria, OH
  • NPI 1700886751

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles David O'Shaughnessy, M.D.

  • Interventional Cardiology Physician
  • Elyria, OH
  • NPI 1831178003
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659304582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E RIVER ST",
            "address_2": "4TH FLOOR",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355902",
            "telephone_number": "440-329-4900",
            "fax_number": "440-329-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E RIVER ST",
            "address_2": "4TH FLOOR",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355902",
            "telephone_number": "440-329-4900",
            "fax_number": "440-329-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYRIA CARDIAC CATH LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASSIDY-DRAIN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "440-329-4910",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2700018",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The North Ohio Heart Lab at EMH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teshika Elder
• Elite Performance Physical Therapy LLC
• Pamela Parobek Eltrich, LISW-S
• Ely Park Health Care, Inc.
• Elyria Anesthesia Incorporated
• Elyria Chiropractic Services Inc
• Elyria Chiropratic and Rehabilitation Inc
• Elyria City Schools
• Elyria Eye Clinic Inc
• Elyria Foot Clinic Inc.

• Physiological Laboratory in Elyria, OH
• Providers in Elyria, OH by specialty
• Physiological Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.