NPIMap

Organization Active NPI

Essex Healthcare Corp

Doing business as Orange Village Care Center-Lab

  • Clinical Medical Laboratory
  • Masury, OH
National Provider Identifier
1710131768
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
36D0897090 Issued in OH
Legal business name
ESSEX HEALTHCARE CORP
Doing business as
Orange Village Care Center-Lab
Practice address
8055 Addison Rd
Masury, OH 44438-1204
Phone
(330) 448-2547
NPI assigned
Nov 4, 2008
Last updated
Nov 4, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ESSEX HEALTH CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Dennis Lockhart
Title
Controller
Phone
(614) 416-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 36D0897090 OH Primary

Addresses

Primary practice location

8055 Addison Rd
Masury, OH 44438-1204

Mailing address

8055 Addison Rd
Masury, OH 44438-1204
Phone (330) 448-2547

Other names 1

  • Orange Village Care Center-Lab Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0897090Addison Healthcare Center8055 Addison Rd SE, Masury, OH 44438Certificate of waiverJan 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Essex Healthcare Corporation27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1710131768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 ADDISON RD",
            "city": "MASURY",
            "state": "OH",
            "postal_code": "444381204",
            "telephone_number": "330-448-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 ADDISON RD",
            "city": "MASURY",
            "state": "OH",
            "postal_code": "444381204",
            "telephone_number": "330-448-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX HEALTHCARE CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESSEX HEALTH CARE",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "614-416-0600"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0897090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange Village Care Center-Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Masury, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.