Lake County Pain & Diagnostic in Mentor - Ambulatory Surgical
Lake County Pain & Diagnostic - NPI 1497740617
Lake County Pain & Diagnostic is a Ambulatory Surgical in Mentor, Ohio. Lake County Pain & Diagnostic practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Lake County Pain & Diagnostic is 1497740617. The last update date is 2020-03-02.
Lake County Pain & Diagnostic's current location address is 9485 Mentor Ave Ste 203, Mentor, Ohio. You can contact this provider via phone number 4402059119 and fax number 4402059209. The mailing address for Lake County Pain & Diagnostic is 9485 Mentor Ave Ste 203, Mentor, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake County Pain & Diagnostic |
|---|---|
| Address | 9485 Mentor Ave Ste 203, Mentor, Ohio |
| Phone Number | 4402059119 |
| Fax Number | 4402059209 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER / PH |
|---|---|
| Authorized Official Name | Boylan T Patrick |
| Credentials | MD |
| Telephone Number | 4402059119 |
NPI Number Detail
| NPI Number | 1497740617 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2020-03-02 |
Provider Mailing Address Detail
| Address | 9485 Mentor Ave Ste 203 |
|---|---|
| City | Mentor |
| State | Ohio (OH) |
| Post Code | 440608723 |
| Phone Number | 4402059119 |
| Fax Number | 4402059209 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 0743A5 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Post Comment/ Review Below
What is the unique identification code assigned to Lake County Pain & Diagnostic by the Centers for Medicare & Medicaid Services?
The Lake County Pain & Diagnostic has been issued the NPI (National Provider Identifier) 1497740617. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lake County Pain & Diagnostic is physically located?
The Lake County Pain & Diagnostic is situated at the following address: 9485 Mentor Ave Ste 203, Mentor, OH 440608723.
What is Lake County Pain & Diagnostic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lake County Pain & Diagnostic is Ambulatory Surgical, and the taxonomy classification code that categorizes this area of expertise is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497740617 to Lake County Pain & Diagnostic?
The Centers for Medicare & Medicaid Services assigned the 1497740617 to Lake County Pain & Diagnostic on 2005-09-14.
As of what date were the details related to Lake County Pain & Diagnostic most recently updated or revised?
The information pertaining to Lake County Pain & Diagnostic, including its address, specialty, and other relevant details, was last updated or revised on 2020-03-02.