PREMIUM DIAGNOSTICS CENTER LLC (NPI# 1467763169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467763169 |
| Entity Type | Organization |
| Organization Name | PREMIUM DIAGNOSTICS CENTER LLC |
| Other Organization Name | WOMEN'S DIAGNOSTIC CLINIC |
| Practice Address |
5319 Hoag Dr Sheffield Village OH 44035-1494 |
| Mailing Address |
Po Box 417 Avon OH 44011-0417 |
| Practice Telephone | 4409306020 |
| Mailing Telephone | 4409306020 |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2010-06-29 |
| Authorized Official Name | MRS. KARI DLUGOSZ (MANAGER) |
| Authorized Official Telephone | 4409306020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2154350 | 05 |
| Other Name | Type Code |
|---|---|
| Women's Diagnostic Clinic | Doing Business As Name - Organization |
| Street Address |
5319 HOAG DR |
| City | SHEFFIELD VILLAGE |
| State | OH |
| Zip Code | 44035-1494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427040914 | Mark D Bej | Psychiatry & Neurology | 5319 Hoag Dr, Suite 111, Sheffield Village, OH 44035-1494 | 2005-08-19 |
| 1346605003 | Rebecca Suit | Nurse Practitioner | 5319 Hoag Dr, Suite 100, Sheffield Village, OH 44035-1494 | 2015-12-23 |
| 1588906192 | Arthur J Myers | Physician Assistant | 5319 Hoag Dr, Suite 210a, Sheffield Village, OH 44035-1494 | 2013-03-21 |
| 1609178755 | Jaclyn A Lanham | Nurse Practitioner | 5319 Hoag Dr, Suite 111, Sheffield Village, OH 44035-1494 | 2010-11-23 |
| 1093045346 | Sunjay Mathur | Physical Medicine & Rehabilitation | 5319 Hoag Dr, Suite 100, Sheffield Village, OH 44035-1494 | 2010-01-09 |
| 1962639013 | Northern Ohio Medical Specialists,llc | Durable Medical Equipment & Medical Supplies | 5319 Hoag Dr, Suite 210a, Sheffield Village, OH 44035-1494 | 2009-06-16 |
| 1588898548 | Ohio Surgical Anesthesia LLC | Anesthesiology | 5319 Hoag Dr, Room 1, Sheffield Village, OH 44035-1494 | 2009-05-06 |
| 1962690305 | Dr. Gupta, Eye M.d., LLC | Ophthalmology | 5319 Hoag Dr, Sutie 260, Sheffield Village, OH 44035-1494 | 2007-10-11 |
| 1023209244 | Joanne Holiday | Pain Medicine | 5319 Hoag Dr, Suite 100, Sheffield Village, OH 44035-1494 | 2007-08-05 |
| 1427197474 | Joseph P Spirnak | Radiology | 5319 Hoag Dr, Suite 130, Sheffield Village, OH 44035-1494 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508811332 | Northern Ohio Medical Specialists, LLC | Clinic/Center | 5319 Hoag Dr, Suite 130, Sheffield Village, OH 44035-1494 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073121521 | Executive Imaging, LLC | Clinic/Center | 1069 Delaware Ave Ste 104, Marion, OH 43302-6459 | 2020-07-21 |
| 1912532904 | Northern Ohio Medical Specialists, LLC | Clinic/Center | 26151 Euclid Ave Ste 130, Euclid, OH 44132-3300 | 2020-03-10 |
| 1326510868 | Genetesis, Inc. | Clinic/Center | 5412 Courseview Dr Ste 150, Mason, OH 45040-2483 | 2018-12-21 |
| 1225507551 | Imaging Support Services Inc | Clinic/Center | 4244 Aicholtz Road Suite D, Cincinnati, OH 45245 | 2018-11-15 |
| 1710417605 | B&d Radiology Partners Pllc | Clinic/Center | 452 Ashsteade Ln, Cincinnati, OH 45255-3710 | 2017-06-14 |
| 1235671710 | Citran Xray LLC | Clinic/Center | 7774 Dayton Springfield Road, Fairborn, OH 45324-1996 | 2016-11-15 |
| 1598163164 | Fostoria Hospital Association | Clinic/Center | 455 W 4th St Ste 30, Fostoria, OH 44830-1864 | 2014-12-15 |
| 1487991360 | Birchcrest Holdings, LLC | Clinic/Center | 19250 Bagley Rd Ste 202, Cleveland, OH 44130 | 2013-01-11 |
| 1487922548 | Northern Ohio Medical Specialists, LLC | Clinic/Center | 2800 Hayes Ave # Bdlgc130, Sandusky, OH 44870 | 2011-12-05 |
| 1164726360 | Birchcrest Holdings, LLC | Clinic/Center | 4760 Richmond Rd Ste 300, Cleveland, OH 44128 | 2011-01-03 |
| Find all providers with the same taxonomy | ||||
| City | SHEFFIELD VILLAGE |
| Zip Code | 44035 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.