CITYBLOCK MEDICAL PRACTICE, LLC
NPI 1013673821
Clinic/Center - Primary Care in Columbus, OH
About Cityblock Medical Practice, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CITYBLOCK MEDICAL PRACTICE, LLC (NPI 1013673821) is a healthcare organization registered as a primary care in Columbus, Ohio and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through January 6, 2028 and lists Susan Brown, Chief Administrative Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 36D2247689
Cityblock Medical Practice, LLC · Columbus, OHOther Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBUS, OH 43213
COLUMBUS, OH 43213
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cityblock Medical Practice, LLC's NPI number?
The NPI number for Cityblock Medical Practice, LLC is 1013673821. It was assigned to this organization in the NPPES registry on November 16, 2021.
Where is Cityblock Medical Practice, LLC located?
Cityblock Medical Practice, LLC is located at 6100 E Main St Ste 110, Columbus, OH 43213. The listed phone number is (833) 904-0620.
What is Cityblock Medical Practice, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Cityblock Medical Practice, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2247689) is associated with this NPI, valid through January 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Cityblock Medical Practice, LLC was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cityblock Medical Practice, Llc · NPI 1013673821
Primary Care organization in Columbus, Ohio. Organization record, active in the CMS NPPES registry since November 16, 2021.
## Identity
- **NPI:** 1013673821 (Entity type: Organization)
- **Enumerated:** November 16, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Susan Brown, CHIEF ADMINISTRATIVE OFFICER
## Practice location
- **Address:** 6100 E MAIN ST STE 110, Columbus, OH 43213-3399
- **Phone:** (833) 904-0620
## Record status
- **NPPES last updated:** January 19, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013673821) · Data from the CMS NPPES public registry.