MODERN MEDICINE LLC NPI 1114654753

NPI Information

NPI: 1114654753
Provider Name: MODERN MEDICINE, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 36D2267636

Address:
5353 VALLEY VIEW DR
MORROW, OH
ZIP 45152
Phone: (513) 268-5655
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MODERN MEDICINE, LLC is a health service clinic center in Morrow, OH. MODERN MEDICINE, LLC NPI is 1114654753. The provider is registered as an organization entity type.

The provider's business location address is:

5353 VALLEY VIEW DR
MORROW, OH
ZIP 45152-089
Phone: (513) 268-5655
Fax: (513) 987-9588

The provider's authorized official is Jessica Ann Francisco .
The authorized official title is Owner/nurse Practitioner and has the following contact phone number (513) 268-5655.

The CLIA number assigned to this NPI record is 36D2267636 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2022 and was last updated on 10/11/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QP2300X	Clinic/Center	Primary Care	No
2	305S00000X	Point of Service		No
3	261QH0100X	Clinic/Center	Health Service	Yes

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: 5/5/2024

NPI Synchronization or Removal

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