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CLEVELAND MEDICAL MANAGEMENT LLC
NPI 1306774500
Clinic/Center in Willard, OH

Active since May 11, 2026CLIA 36D2346127 · Waiver
117 BLOSSOM CENTRE BLVD STE 105, WILLARD, OH 44890(419) 561-4552(513) 712-4573 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Cleveland Medical Management Llc NPPES

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

CLEVELAND MEDICAL MANAGEMENT LLC (NPI 1306774500), doing business as Willard Medical And Diagnostics - Amoh, is a healthcare organization registered as a clinic/center in Willard, Ohio and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through June 23, 2028 and lists Corby Johnson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1306774500
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCLEVELAND MEDICAL MANAGEMENT LLC
Location Address117 BLOSSOM CENTRE BLVD STE 105Willard, OH 44890-9317
Mailing Address117 Blossom Centre Blvd Ste 105Willard, OH 44890-9317 · (419) 561-4552 · Fax (513) 712-4573
Phone(419) 561-4552
Fax(513) 712-4573
Organization SubpartNo
Authorized OfficialCorby JohnsonAdministrator · (800) 423-6078
Enumeration DateMay 11, 2026
NPPES CertifiedMay 10, 2026
✔ NPI 1306774500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
117 BLOSSOM CENTRE BLVD STE 105, Willard, OH 44890
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Other Names 1

Doing Business AsWillard Medical And Diagnostics - Amoh

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 36D2346127

Cleveland Medical Management Dba Willard Medical & Diagnostics · Willard, OH
Active · expires Jun 23, 2028
CLIA Number36D2346127
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorAbdullah Arshd
Laboratory Phone(419) 561-4552
Laboratory LocationCleveland Medical Management Dba Willard Medical & Diagnostics117 Blossom Blvd, Willard, OH 44890
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Cleveland Medical Management LLC's NPI number?

The NPI number for Cleveland Medical Management LLC is 1306774500. It was assigned to this organization in the NPPES registry on May 11, 2026. The provider is doing business as Willard Medical and Diagnostics - AMOH.

Where is Cleveland Medical Management LLC located?

Cleveland Medical Management LLC is located at 117 Blossom Centre Blvd Ste 105, Willard, OH 44890. The listed phone number is (419) 561-4552.

What is Cleveland Medical Management LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Cleveland Medical Management LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2346127) is associated with this NPI, valid through June 23, 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 Cleveland Medical Management LLC was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.