Embassy Madison Management, LLC
Organization Active NPI Clinical Medical Laboratory · Madison, OH
NPI 1942515416 · NPPES record last updated Aug 9, 2010
Key facts
- NPI
- 1942515416
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- EMBASSY MADISON MANAGEMENT, LLC
- Practice address
- 7600 S Ridge Rd
Madison, OH 44057-9746 - Phone
- (440) 428-1492
- NPI assigned
- Aug 9, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- EMBASSY MADISON MANAGEMENT, LLC
Authorized official
- Name
- Aaron Handler
- Title
- President
- Phone
- (440) 428-1492
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0334412 | Madison Health Care Inc | Certificate of waiver | Aug 31, 2026 |
| 36D2337669 | Madison Healthcare | Certificate of waiver | Jan 26, 2028 |
National Provider Directory
- Tax ID family
- Embassy Madison Management LLC
- Part of
- Embassy Madison Management LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
7600 S Ridge Rd
Madison, OH 44057-9746
Mailing address
7600 S Ridge Rd
Madison, OH 44057-9746
Other names
- Madison Health Care
Other providers in Madison, OH
- Pamela Belle Dustman
- Dva Healthcare Renal Care Inc
- Eastwood Residential Living, Inc.
- Larry Edward Ede
- Embassy Madison Management, LLC
- Stephanie A Evanoff
- Olivia Fait
- Robyn Leigh Feldman
- Megan Ferritto
- FHS Madison, Inc.
All providers in Madison, OH · Clinical Medical Laboratory in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.