Organization Active NPI

Compassionate Care Lab Services LLC

  • Clinical Medical Laboratory
  • Independence, OH
National Provider Identifier
1881355725
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
April T Gamble, PHLEBOTOMISTNPI 1396441846
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Other URL Info@compassionatehomecareservice.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241119004896 OH Part B Supplier - Independent Clinical Laboratory 1658806286 Practice locations: Independence, OH

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
36D2246958Compassionate Care Lab Service, LLC6505 Rockside Rd Suite 150, Independence, OH 44131Certificate of waiverJan 2, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.