ST RICHARD'S CLINIC
NPI 1104677962
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Mason, OH
About St Richard's Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST RICHARD'S CLINIC (NPI 1104677962) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Mason, Ohio and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Chibuike Bruno Obioha, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 36D2325870
St Richards Clinic · Mason, OHOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MASON, OH 45040
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 St Richard's Clinic's NPI number?
The NPI number for St Richard's Clinic is 1104677962. It was assigned to this organization in the NPPES registry on March 29, 2024.
Where is St Richard's Clinic located?
St Richard's Clinic is located at 4834 Socialville Foster Rd Ste 10, Mason, OH 45040. The listed phone number is (615) 692-2002.
What is St Richard's Clinic's specialty?
The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.
Does St Richard's Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2325870) is associated with this NPI, valid through June 22, 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 St Richard's Clinic was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# St Richard's Clinic · NPI 1104677962
Preventive Medicine/Occupational Environmental Medicine organization in Mason, Ohio. Organization record, active in the CMS NPPES registry since March 29, 2024.
## Identity
- **NPI:** 1104677962 (Entity type: Organization)
- **Enumerated:** March 29, 2024
- **Primary specialty:** Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine · taxonomy 2083P0500X
- **Organization subpart:** Yes (part of Chibuike Bruno Obioha Llc)
- **Authorized official:** Chibuike Obioha, OWNER
## Practice location
- **Address:** 4834 SOCIALVILLE FOSTER RD STE 10, Mason, OH 45040-6805
- **Phone:** (615) 692-2002
## Record status
- **NPPES last updated:** June 5, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104677962) · Data from the CMS NPPES public registry.