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EVERSIDE HEALTH, LLC
NPI 1083018535
Clinic/Center - Primary Care in Defiance, OH

Active since October 13, 2014CLIA 36D2089783 · Microscopy
25568 ELLIOTT RD, DEFIANCE, OH 43512(419) 782-2147(419) 782-2157 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2022, Jun 2, 2020 (2 updates tracked since 2020).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1083018535) is a healthcare organization registered as a primary care in Defiance, Ohio and active in the NPI registry since October 2014. The organization holds a CLIA Microscopy certificate valid through July 31, 2027 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1083018535
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address25568 ELLIOTT RDDefiance, OH 43512-9003
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916 · (704) 936-5546
Phone(419) 782-2147
Fax(419) 782-2157
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateOctober 13, 2014
Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1083018535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
25568 ELLIOTT RD, Defiance, OH 43512
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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 for Provider-Performed Microscopy Procedures (PPMP) 36D2089783

Everside Health And Wellness Center Defiance Clinic · Defiance, OH
Active · expires Jul 31, 2027
CLIA Number36D2089783
Laboratory TypeChronic Disease Mgmt
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorMelinda S. Fritz
Laboratory Phone(704) 529-6161
Laboratory LocationEverside Health And Wellness Center Defiance Clinic25568 Elliott Road, Defiance, OH 43512
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Everside Health, LLC's NPI number?

The NPI number for Everside Health, LLC is 1083018535. It was assigned to this organization in the NPPES registry on October 13, 2014.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 25568 Elliott Rd, Defiance, OH 43512. The listed phone number is (419) 782-2147.

What is Everside Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Everside Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D2089783) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Everside Health, LLC was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.