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LIMA MEMORIAL PROFESSIONAL CORPORATION NPI 1306393541


NPI Information

NPI: 1306393541
Provider Name: LIMA MEMORIAL PROFESSIONAL CORPORATION

Doing Business As: LMPC SPECIALISTS AT VAN WERT

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 36D2118589

Address:
140 FOX RD STE 103 1/2
VAN WERT, OH
ZIP 45891
Phone: (419) 232-6700
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LIMA MEMORIAL PROFESSIONAL CORPORATION is a nephrology internal medicine in Van Wert, OH. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. LIMA MEMORIAL PROFESSIONAL CORPORATION NPI is 1306393541. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lmpc Specialists At Van Wert.

The provider's business location address is:

140 FOX RD STE 103 1/2
VAN WERT, OH
ZIP 45891-400
Phone: (419) 232-6700
Fax: (419) 998-4586

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 36D2118589 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/6/2016 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
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RH0003XInternal MedicineHematology & OncologyNo
3208800000XUrologyNo
4208C00000XColon & Rectal SurgeryNo
5363A00000XPhysician AssistantNo
6207RN0300XInternal MedicineNephrologyYes

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
21457474900OTHEROHIOGROUP NPI

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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