Center Ridge Health Campus

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

36D0334108 Issued in OH

Legal business name

CENTER RIDGE HEALTH CAMPUS

Doing business as

Center Ridge - Laboratory

Practice address

38600 Center Ridge Rd
North Ridgeville, OH 44039-2837

Phone

(440) 327-1295

NPI assigned

Nov 11, 2008

Organization subpart

Yes

Parent organization

O'NEILL MANAGEMENTAs reported in NPPES

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

Authorized official

Name

Mr. John T. O,Neill

Title

Managing Member

Phone

(440) 327-9777

Specialties & licenses 1

Addresses

Other names 1

• Center Ridge - Laboratory Doing business as

Tax ID family

Center Ridge - Laboratory2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Center Ridge Nursing Home, Inc.

  • Skilled Nursing Facility
  • North Ridgeville, OH
  • NPI 1497800866
  NPD tax ID

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1720232242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38600 CENTER RIDGE RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392837",
            "telephone_number": "440-327-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38600 CENTER RIDGE RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392837",
            "telephone_number": "440-327-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER RIDGE HEALTH CAMPUS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "O'NEILL MANAGEMENT",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "O,NEILL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "440-327-9777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0334108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center Ridge - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ginny Caruso, LISW
• Rita Cavalier
• Emily Cavanaugh, M.A. CCC-SLP
• Center for Clinical Psychology Inc
• Center Ridge Dental, LLC
• Center Ridge Nursing Home, Inc.
• Douglas Michael Charboneau, D.C.
• Mundeep Chaudhry, MD
• Ibrahim Chkhaidze
• Kaycie Churchill

• Clinical Medical Laboratory in North Ridgeville, OH
• Providers in North Ridgeville, 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 Nov 11, 2008; 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.