AZIMUTH MEDICAL LLC NPI 1699362863

NPI Information

NPI: 1699362863
Provider Name: AZIMUTH MEDICAL LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 36D2192740

Address:
1701 MENTOR AVE STE 10
PAINESVILLE, OH
ZIP 44077
Phone: (440) 391-1308
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AZIMUTH MEDICAL LLC is a health service clinic center in Painesville, OH. AZIMUTH MEDICAL LLC NPI is 1699362863. The provider is registered as an organization entity type.

The provider's business location address is:

1701 MENTOR AVE STE 10
PAINESVILLE, OH
ZIP 44077-459
Phone: (440) 391-1308

The provider's authorized official is Peter Orr .
The authorized official title is Owner/ President and has the following contact phone number (440) 391-1308.

The CLIA number assigned to this NPI record is 36D2192740 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2020 and was last updated on 12/22/2020.

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	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: 11/14/2023

NPI Synchronization or Removal

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