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LIMA MEMORIAL PROFESSIONAL CORPORATION NPI 1104190578


NPI Information

NPI: 1104190578
Provider Name: LIMA MEMORIAL PROFESSIONAL CORPORATION

Doing Business As: LMPC SPECIALISTS AT SIDNEY

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 36D2137026

Address:
915 MICHIGAN ST STE 203
SIDNEY, OH
ZIP 45365
Phone: (937) 492-3351
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LIMA MEMORIAL PROFESSIONAL CORPORATION is a cardiovascular disease internal medicine in Sidney, OH. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. LIMA MEMORIAL PROFESSIONAL CORPORATION NPI is 1104190578. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lmpc Specialists At Sidney.

The provider's business location address is:

915 MICHIGAN ST STE 203
SIDNEY, OH
ZIP 45365-401
Phone: (937) 492-3351
Fax: (937) 492-8631

The provider's authorized official is Jeffrey Utz .
The authorized official title is Director Of Lmp and has the following contact phone number (419) 998-4668.

The CLIA number assigned to this NPI record is 36D2137026 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/2/2012 and was last updated on 7/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantNo
2207RN0300XInternal MedicineNephrologyNo
3207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12223703MEDICAIDOHIO
21457474900OTHEROHIONPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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