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INNOVATIVE MEDICAL CENTERS LLC NPI 1417451709


NPI Information

NPI: 1417451709
Provider Name: INNOVATIVE MEDICAL CENTERS, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 36D2221492

Address:
55 CAREN AVE STE 360
WORTHINGTON, OH
ZIP 43085
Phone: (614) 436-9355
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INNOVATIVE MEDICAL CENTERS, LLC is a general practice in Worthington, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee INNOVATIVE MEDICAL CENTERS, LLC NPI is 1417451709. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

55 CAREN AVE STE 360
WORTHINGTON, OH
ZIP 43085-515
Phone: (614) 436-9355
Fax: (614) 436-2052

The provider's authorized official is Ardaman Singh .
The authorized official title is Dr. and has the following contact phone number (614) 436-9355.

The CLIA number assigned to this NPI record is 36D2221492 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2018 and was last updated on 4/16/2018.


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
1208D00000XGeneral PracticeYes

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.