LAKE COUNTY PAIN & DIAGNOSTIC; NPI #1497740617

Contact Information

LAKE COUNTY PAIN & DIAGNOSTIC

8401 MENTOR AVE
STE A
MENTOR, OH 44060-5842

Phone: 440-205-9119
Fax: 440-205-9209
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for LAKE COUNTY PAIN & DIAGNOSTIC

NPI Number 1497740617

LBN Legal business name LAKE COUNTY PAIN & DIAGNOSTIC

Authorized official PATRICK BOYLAN - (OWNER / PHYSICIAN)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 09/14/2005

Last updated 03/02/2020 - About 6 years ago

Identifiers

License #

0743A5

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LAKE COUNTY PAIN & DIAGNOSTIC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for LAKE COUNTY PAIN & DIAGNOSTIC

Reviews for LAKE COUNTY PAIN & DIAGNOSTIC