Active NPI
Compassionate Care Lab Services LLC
- Clinical Medical Laboratory
- Independence, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- COMPASSIONATE CARE LAB SERVICES LLC
- Practice address
- 6505 Rockside Rd Ste 150
Independence, OH 44131-2342 - Phone
- (440) 210-1461
- NPI assigned
- Jan 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- April T Gamble, PHLEBOTOMIST
- Title
- Owner
- Phone
- (440) 210-1461
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
6505 Rockside Rd Ste 150
Independence, OH 44131-2342
Mailing address
6505 Rockside Rd Ste 150
Independence, OH 44131-2342
Phone (440) 210-1461
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Info@compassionatehomecareservice.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241119004896 | OH | Part B Supplier - Independent Clinical Laboratory | 1658806286 | Practice locations: Independence, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2246958 | Compassionate Care Lab Service, LLC | Certificate of waiver | Jan 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
6505 Rockside Rd
Ste 150
Independence, OH 44131
Phone (440) 207-0566
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642118400000",
"number": "1881355725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6505 ROCKSIDE RD STE 150",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312342",
"telephone_number": "440-210-1461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6505 ROCKSIDE RD STE 150",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312342",
"telephone_number": "440-210-1461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASSIONATE CARE LAB SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-03",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A",
"authorized_official_last_name": "GAMBLE",
"authorized_official_first_name": "APRIL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-210-1461",
"authorized_official_credential": "PHLEBOTOMIST"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Info@compassionatehomecareservice.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email address",
"address_1": "6505 Rockside Rd Ste 150",
"city": "Independence",
"state": "OH",
"country_code": "US",
"postal_code": "441312342",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.