1114929882 NPI number — ZAK ENTERPRISES LTD

Table of content: (NPI 1114929882)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114929882 NPI number — ZAK ENTERPRISES LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ZAK ENTERPRISES LTD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CLINICAL HEALTH LABORATORIES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114929882
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/31/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
26300 EUCLID AVE
Provider Second Line Business Mailing Address:
STE 810
Provider Business Mailing Address City Name:
CLEVELAND
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44132-3708
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-261-9700
Provider Business Mailing Address Fax Number:
216-261-3955

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
26300 EUCLID AVE
Provider Second Line Business Practice Location Address:
STE 810
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44132-3708
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-261-9700
Provider Business Practice Location Address Fax Number:
216-261-3955
Provider Enumeration Date:
08/12/2005

Additional Information

Authorized Official

Authorized Official Last Name:
ZARLENGA-KALINA
Authorized Official First Name:
CAROL
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
CEO/PRESIDENT
Authorized Official Telephone Number:
216-261-9700

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 291U00000X , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2467905 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00059017 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com