NPIMap

Organization Active NPI

Optimed Infusion LLC

Doing business as optimed infusion llc DBA optimed laboratory

  • Infusion Therapy Clinic/Center
  • Columbus, OH
National Provider Identifier
1992256119
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
License
35054381 Issued in OH
Legal business name
OPTIMED INFUSION LLC
Doing business as
optimed infusion llc DBA optimed laboratory
Practice address
8080 Ravines Edge CT Ste 200
Columbus, OH 43235-5424
Phone
(614) 430-8022
Fax
(614) 430-8025
NPI assigned
Oct 24, 2016
Last updated
Dec 26, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
OPTIMED INFUSION LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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

Authorized official

Name
Mrs. Trudy Ann McNeil, R.N.
Title
Business Manager
Phone
(614) 430-8022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X 35054381 OH Primary

Addresses

Primary practice location

8080 Ravines Edge CT Ste 200
Columbus, OH 43235-5424

Mailing address

8080 Ravines Edge CT Ste 200
Columbus, OH 43235-5424
Phone (614) 430-8022

Other identifiers 1

IdentifierTypeStateIssuer
2370287MedicaidOH

Other names 1

  • optimed infusion llc DBA optimed laboratory Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Optimed Research LLC2 organizations share this tax ID, including this one
Part of
Optimed Research LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1992256119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 RAVINES EDGE CT STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355424",
            "telephone_number": "614-430-8022",
            "fax_number": "614-430-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 RAVINES EDGE CT STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355424",
            "telephone_number": "614-430-8022",
            "fax_number": "614-430-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMED INFUSION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIMED INFUSION LLC",
        "enumeration_date": "2016-10-24",
        "last_updated": "2018-12-26",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "614-430-8022",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "OH",
            "license": "35054381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2370287",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "optimed infusion llc DBA optimed laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.