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Contact Information

LADY GODIVA LLC
16600 BURNSIDE AVE
CLEVELAND, OH44110-2910
 Phone: 216-246-8900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Phlebotomy

246RP1900X
 

Portable Xray Supplier

335V00000X 63 Portable X-Ray Supplier
Indicates primary specialty

NPI Profile & details for LADY GODIVA LLC

NPI Number 1831026061
LBN Legal business name LADY GODIVA LLC
Authorized official KEYATTA BROWN - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2026
Last updated 05/05/2026 - About a month ago
Identifiers n/a
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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