REVISION TECHNOLOGIES INC. NPI 1609974401

NPI Information

NPI: 1609974401
Provider Name: REVISION TECHNOLOGIES, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 36D1059172

Address:
1080 POLARIS PARKWAY S
SUITE 100
COLUMBUS, OH
ZIP 43240
Phone: (614) 781-0499
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REVISION TECHNOLOGIES, INC. is an ambulatory surgical clinic center in Columbus, OH. REVISION TECHNOLOGIES, INC. NPI is 1609974401. The provider is registered as an organization entity type.

The provider's business location address is:

1080 POLARIS PARKWAY S
SUITE 100
COLUMBUS, OH
ZIP 43240
Phone: (614) 781-0499
Fax: (614) 781-1974

The provider's authorized official is Douglas James Schumer .
The authorized official title is President and has the following contact phone number (419) 525-3737.

The CLIA number assigned to this NPI record is 36D1059172 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/5/2008.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	0642AS	OHIO	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: 11/14/2023

NPI Synchronization or Removal

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