NPIMap

Organization Active NPI

Sheridan Enterprises

  • Clinical Medical Laboratory
  • Youngstown, OH
National Provider Identifier
1851690648
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SHERIDAN ENTERPRISES
Practice address
25 N Canfield Niles Rd
Suite 160
Youngstown, OH 44515-2328
Phone
(330) 270-2380
Fax
(330) 270-2382
NPI assigned
Mar 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Ryan Sheridan
Title
Owner
Phone
(330) 270-2380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

25 N Canfield Niles Rd
Suite 160
Youngstown, OH 44515-2328

Mailing address

25 N Canfield Niles Rd
Suite 160
Youngstown, OH 44515-2328
Phone (330) 270-2380

National Provider Directory

National Provider Directory
Tax ID family
Braking Point Recovery Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

25 N Canfield Niles Rd
Ste 160
Youngstown, OH 44515
Phone (330) 792-2976

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1851690648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N CANFIELD NILES RD",
            "address_2": "SUITE 160",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152328",
            "telephone_number": "330-270-2380",
            "fax_number": "330-270-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N CANFIELD NILES RD",
            "address_2": "SUITE 160",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152328",
            "telephone_number": "330-270-2380",
            "fax_number": "330-270-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "SHERIDAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-270-2380"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.