ID CONSULTANTS INC NPI 1124058920

NPI Information

NPI: 1124058920
Provider Name: ID CONSULTANTS INC
Classification: Clinic/Center - 261QI0500X
Specialization: Infusion Therapy
Entity Type: Organization
:
CLIA Number: 36D2264920
Address: 3401 ENTERPRISE PKWY STE 110
BEACHWOOD, OH
ZIP 44122
Phone: (216) 448-1060

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NPI Details

ID CONSULTANTS INC is an infusion therapy clinic center in Beachwood, OH. ID CONSULTANTS INC NPI is 1124058920. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

3401 ENTERPRISE PKWY STE 110
BEACHWOOD, OH
ZIP 44122-340
Phone: (216) 448-1060
Fax: (216) 450-1031

The provider's authorized official is Sue Ellen Rottura .
The authorized official title is Chief Operating Officer and has the following contact phone number (561) 323-8987.

The CLIA number assigned to this NPI record is 36D2264920 - other - infusion center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 7/10/2025.

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	License Number	License State	Primary
1	207RI0200X	Internal Medicine	Infectious Disease			No
2	261QI0500X	Clinic/Center	Infusion Therapy			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2485074	MEDICAID	OHIO

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: 11/21/2025

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