Bradley Bay Health Center
Clinical Medical Laboratory in Bay Village, OH. Organization (NPI-2).
NPI number1154583946
StatusActive
Last updated in NPPESJul 2, 2008
Details
- NPI
- 1154583946
- Entity type
- Organization (NPI-2)
- Legal business name
- Bradley Bay Health Center
- Organization subpart
- Yes
- Enumeration date
- Jul 2, 2008
- Last updated
- Jul 2, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 36D0339064 | OH | Yes |
Other names
- Bradley Bay - Laboratory (Doing Business As)
Practice location
605 Bradley RdBay Village, OH 44140-1670
Phone 440-871-3474
Mailing address
605 Bradley RdBay Village, OH 44140-1670
Phone 440-871-3474
Authorized official
John T. O'Neill
Managing Member
4403279777
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