Provider Type Icon

JOURNEY LITE OF CINCINNATI LLC NPI 1053508077


NPI Information

NPI: 1053508077
Provider Name: JOURNEY LITE OF CINCINNATI, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 36D1078219

Address:
10475 READING ROAD
SUITE 115
CINCINNATI, OH
ZIP 45241
Phone: (704) 542-2256
Get Directions

JOURNEY LITE OF CINCINNATI, LLC is an ambulatory surgical clinic center in Cincinnati, OH. JOURNEY LITE OF CINCINNATI, LLC NPI is 1053508077. The provider is registered as an organization entity type.

The provider's business location address is:

10475 READING ROAD
SUITE 115
CINCINNATI, OH
ZIP 45241
Phone: (704) 542-2256

The provider's authorized official is David Mcclellan .
The authorized official title is Administrator/controller and has the following contact phone number (513) 259-2488.

The CLIA number assigned to this NPI record is 36D1078219 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2007 and was last updated on 1/12/2015.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.