HARBOR
NPI 1023495645
Clinic/Center - Multi-Specialty in Toledo, OH

Active since May 04, 2015CLIA 36D1081227 · Waiver
6629 W CENTRAL AVE, TOLEDO, OH 43617(419) 475-4449 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Harbor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARBOR (NPI 1023495645) is a healthcare organization registered as a multi-specialty in Toledo, Ohio and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through March 12, 2028 and lists John Sheehan, President, as its authorized official.

NPPES Registry Identity

NPI1023495645
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameLIFESTREAM
Location Address6629 W CENTRAL AVEToledo, OH 43617-1098
Mailing AddressP.o. Box 8970Toledo, OH 43623 · (419) 475-4449
Organization SubpartNo
Authorized OfficialJohn SheehanPresident · (419) 475-4449
Enumeration DateMay 4, 2015
NPI 1023495645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
6629 W CENTRAL AVE, Toledo, OH 43617

Other Names 1

Doing Business AsHarbor

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 36D1081227

Harbor, Inc · Toledo, OH
Active · expires Mar 12, 2028
CLIA Number36D1081227
Laboratory TypePractitioner Other
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorIfran Ahmed
Laboratory Phone(419) 475-4449
Laboratory LocationHarbor, Inc3909 Woodley Road, Toledo, OH 43606
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
6629 W CENTRAL AVE
TOLEDO, OH 43617
Community Health Worker
6629 W CENTRAL AVE
TOLEDO, OH 43617
Nurse Practitioner (Psychiatric/Mental Health)
6629 W CENTRAL AVE
TOLEDO, OH 43617
Counselor (Addiction (Substance Use Disorder))
6629 W CENTRAL AVE
TOLEDO, OH 43617
Counselor (Addiction (Substance Use Disorder))
6629 W CENTRAL AVE
TOLEDO, OH 43617
Counselor (Mental Health)
6629 W CENTRAL AVE
TOLEDO, OH 43617
Counselor (Mental Health)
6629 W CENTRAL AVE
TOLEDO, OH 43617
Counselor
6629 W CENTRAL AVE
TOLEDO, OH 43617

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 Lifestream's NPI number?

The NPI number for Lifestream is 1023495645. It was assigned to this organization in the NPPES registry on May 4, 2015. The provider is doing business as Harbor.

Where is Lifestream located?

Lifestream is located at 6629 W Central Ave, Toledo, OH 43617. The listed phone number is (419) 475-4449.

What is Lifestream's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Lifestream hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1081227) is associated with this NPI, valid through March 12, 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 Lifestream was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.