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INNOVATIVE FAMILY MEDICINE LLC. NPI 1548736374


NPI Information

NPI: 1548736374
Provider Name: INNOVATIVE FAMILY MEDICINE, LLC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D2157106

Address:
6425 POST RD STE 102
DUBLIN, OH
ZIP 43016
Phone: (614) 813-0883
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INNOVATIVE FAMILY MEDICINE, LLC. is a family medicine in Dublin, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. INNOVATIVE FAMILY MEDICINE, LLC. NPI is 1548736374. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6425 POST RD STE 102
DUBLIN, OH
ZIP 43016-347
Phone: (614) 813-0883
Fax: (614) 813-7173

The provider's authorized official is Marvin S. Im .
The authorized official title is Owner and has the following contact phone number (614) 517-9637.

The CLIA number assigned to this NPI record is 36D2157106 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2018 and was last updated on 10/19/2018.


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
1207Q00000XFamily MedicineYes

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

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