Ridgepark Medical Associates, Inc. in Brooklyn - Clinical Medical Laboratory

Ridgepark Medical Associates, Inc. - NPI 1407865488

Ridgepark Medical Associates, Inc. is a Clinical Medical Laboratory in Brooklyn, Ohio. Ridgepark Medical Associates, Inc. practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Ridgepark Medical Associates, Inc. is 1407865488. The last update date is 2011-08-31.

Ridgepark Medical Associates, Inc.'s current location address is 7575 Northcliff Ave, Brooklyn, Ohio. You can contact this provider via phone number 2163985095 and fax number 2163985119. The mailing address for Ridgepark Medical Associates, Inc. is 7575 Northcliff Ave, Brooklyn, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ridgepark Medical Associates, Inc.
Address 7575 Northcliff Ave, Brooklyn, Ohio
Phone Number 2163985095
Fax Number 2163985119
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Koepke Robert Charles
Credentials M.D.
Telephone Number 2167498256

NPI Number Detail

NPI Number 1407865488
Provider Enumeration Date 2006-08-07
Last Updated Date 2011-08-31

Provider Mailing Address Detail

Address 7575 Northcliff Ave
City Brooklyn
State Ohio (OH)
Post Code 441443267
Phone Number 2163985095
Fax Number 2163985119

Provider's Primary Taxonomy Detail

Speciality Clinical Medical Laboratory
Taxonomy 291U00000X
Licence No 36D0338463
Definition:
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
512593 OH WELLCAREOF OH
2754274 OH --
561755 ANTHEM

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FAQs about Ridgepark Medical Associates, Inc.

What is the unique 10-digit identifier code assigned to Ridgepark Medical Associates, Inc. by the Centers for Medicare & Medicaid Services?

The Ridgepark Medical Associates, Inc. has been issued the NPI (National Provider Identifier) 1407865488 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Ridgepark Medical Associates, Inc.'s physical address?

The Ridgepark Medical Associates, Inc. is physically located at 7575 Northcliff Ave, in the city of Brooklyn, OH, with the postal code 441443267.

What is Ridgepark Medical Associates, Inc.'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 Ridgepark Medical Associates, Inc. is Clinical Medical Laboratory, and the taxonomy classification code that categorizes this area of expertise is 291U00000X.

On what date was the 1407865488 assigned to Ridgepark Medical Associates, Inc.?

The Ridgepark Medical Associates, Inc. was issued its 1407865488 on 2006-08-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Ridgepark Medical Associates, Inc. last refreshed?

The information related to the Ridgepark Medical Associates, Inc., including its address, specialty, and other relevant details, was last updated on 2011-08-31.

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