Active NPI
University Hospitals Laboratory Services Foundation
Doing business as Center of Human Genetics Laboratory
- Clinical Medical Laboratory
- Cleveland, OH
National Provider Identifier
1891025284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION
- Doing business as
- Center of Human Genetics Laboratory
- Practice address
- 10524 Euclid Ave
Cleveland, OH 44106-2205 - Phone
- (216) 983-1133
- NPI assigned
- Jan 6, 2010
- Last updated
- Apr 29, 2024
- Organization subpart
- Yes
- Parent organization
- UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Schillero
- Title
- Director, FP&a
- Phone
- (216) 767-8141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
10524 Euclid Ave
Cleveland, OH 44106-2205
Mailing address
PO Box 772930
Detroit, MI 48277-2930
Phone (216) 983-1133
Other names 1
- CENTER OF HUMAN GENETICS LABORATORY
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/Documentsubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040116000117 | OH | Part B Supplier - Independent Clinical Laboratory | 1355242090 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cleveland, OH; Wadsworth, OH; Fairlawn, OH; Beachwood, OH |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Cleveland, OH
- NPI 1619980430
O20040116000117
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 |
|---|---|---|---|
| 36D2265683 | University Hospitals Addiction | Certificate of waiver | Jul 31, 2026 |
National Provider Directory
National Provider Directory- Part of
- Univ Hosp Lab Serv Foun
Locations
10524 Euclid Ave
Cleveland, OH 44106
Phone (216) 844-3881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714348800000",
"number": "1891025284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 772930",
"city": "DETROIT",
"state": "MI",
"postal_code": "482772930",
"telephone_number": "216-983-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10524 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441062205",
"telephone_number": "216-983-1133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION",
"enumeration_date": "2010-01-06",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A",
"authorized_official_last_name": "SCHILLERO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "DIRECTOR, FP&A",
"authorized_official_telephone_number": "216-767-8141"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/Documentsubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc.",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "CENTER OF HUMAN GENETICS LABORATORY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CENTER OF HUMAN GENETICS LABORATORY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cleveland, OH
- University Hospitals Health System
- University Hospitals Health System Inc
- University Hospitals Laboratory Service Foundation Dba: University Hos (University Hospital Translational Hospital)
- University Hospitals Laboratory Services Foundation (CIDEM Uiversity Hospitals Laboratory)
- University Hospitals Laboratory Services Foundation
- University Hospitals Medical Group
- University Hospitals Medical Group
- University Hospitals Medical Group Inc
- University Hospitals Medical Group, Inc
- University Hospitals Medical Group, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.