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CLINIC 5 LLC
NPI 1407491970
Preventive Medicine - Addiction Medicine in Columbus, OH

Active since November 08, 2019CLIA 36D2071531 · Waiver
1466 NORTHWEST BLVD, COLUMBUS, OH 43212(614) 598-9960 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clinic 5 Llc NPPES

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

CLINIC 5 LLC (NPI 1407491970) is a healthcare organization registered as an addiction medicine in Columbus, Ohio and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through April 9, 2028 and lists Dan Couri, Member, as its authorized official.

NPPES Registry Identity

NPI1407491970
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NameCLINIC 5 LLC
Location Address1466 NORTHWEST BLVDColumbus, OH 43212-3063
Mailing Address1466 Northwest BlvdColumbus, OH 43212-3063
Phone(614) 598-9960
Organization SubpartNo
Authorized OfficialDan CouriMember · (614) 598-9960
Enumeration DateNovember 8, 2019
✔ NPI 1407491970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
1466 NORTHWEST BLVD, Columbus, OH 43212
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 36D2071531

Clinic 5 LLC · Columbus, OH
Active · expires Apr 9, 2028
CLIA Number36D2071531
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2026
Certificate Expiration DateApril 9, 2028
Laboratory DirectorSteven Schneider
Laboratory Phone(614) 598-9960
Laboratory LocationClinic 5 LLC1466 Northwest Blvd, Columbus, OH 43212
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

JENNIFER ANN STEGMILLER NP
Nurse Practitioner (Family)
1466 NORTHWEST BLVD
COLUMBUS, OH 43212
Franklin County (614) 598-9960
JOHNATHON DANIEL COURI PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1466 NORTHWEST BLVD
COLUMBUS, OH 43212
Franklin County (614) 598-9960

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 Clinic 5 LLC's NPI number?

The NPI number for Clinic 5 LLC is 1407491970. It was assigned to this organization in the NPPES registry on November 8, 2019.

Where is Clinic 5 LLC located?

Clinic 5 LLC is located at 1466 Northwest Blvd, Columbus, OH 43212. The listed phone number is (614) 598-9960.

What is Clinic 5 LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Does Clinic 5 LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2071531) is associated with this NPI, valid through April 9, 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 Clinic 5 LLC was last updated on November 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.