Prognostix, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

36D1032987 Issued in OH

Legal business name

PROGNOSTIX, INC.

Practice address

10265 Carnegie Ave.
Cleveland, OH 44106

Phone

(216) 445-1380

Fax

(866) 449-0960

NPI assigned

Feb 18, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Scott F. Purvis, PH.D.

Title

Director of Operations

Phone

(216) 445-1380

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Cleveland Clinic Foundation

  • Durable Medical Equipment & Medical Supplies
  • Sheffield Village, OH
  • NPI 1942405741

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1942449798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10265 CARNEGIE AVE.",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44106",
            "telephone_number": "216-445-1380",
            "fax_number": "866-449-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10265 CARNEGIE AVE.",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44106",
            "telephone_number": "216-445-1380",
            "fax_number": "866-449-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGNOSTIX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "PURVIS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "216-445-1380",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D1032987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Dental Alliance
• Professional Medical Services, LLC.
• Professional Van Service Co.
• Ion Profirii
• Profound Reflections
• Project Lift Behavioral Health Services
• Hayley Prokay, SWT
• Natalia Kosha Prokop, SWT
• Promise Icf and Hospice LLC
• Lilia Pron, PMHNP-BC

• Clinical Medical Laboratory in Cleveland, OH
• Providers in Cleveland, 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 Feb 18, 2009; 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.