ON DEMAND OPIATE RECOVERY LLC NPI 1730622895

NPI Information

NPI: 1730622895
Provider Name: ON DEMAND OPIATE RECOVERY, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 36D2156621

Address:
102 WESTCHESTER DR
AUSTINTOWN, OH
ZIP 44515
Phone: (330) 270-3660
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ON DEMAND OPIATE RECOVERY, LLC is a multi-specialty clinic center in Austintown, OH. ON DEMAND OPIATE RECOVERY, LLC NPI is 1730622895. The provider is registered as an organization entity type.

The provider's business location address is:

102 WESTCHESTER DR
AUSTINTOWN, OH
ZIP 44515-963
Phone: (330) 270-3660

The provider's authorized official is Tom Ivany .
The authorized official title is Ceo/owner and has the following contact phone number (330) 270-3660.

The CLIA number assigned to this NPI record is 36D2156621 - other - drug testing collection with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2016 and was last updated on 11/22/2016.

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	261QM1300X	Clinic/Center	Multi-Specialty			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: 4/28/2024

NPI Synchronization or Removal

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