LAKE COUNTY PAIN & DIAGNOSTIC
NPI 1497740617
Clinic/Center - Ambulatory Surgical in Mentor, OH

Active since September 14, 2005CLIA 36D1040749 · Waiver
8401 MENTOR AVE, STE A, MENTOR, OH 44060(440) 205-9119(440) 205-9209 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake County Pain & Diagnostic NPPES

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

LAKE COUNTY PAIN & DIAGNOSTIC (NPI 1497740617) is a healthcare organization registered as an ambulatory surgical in Mentor, Ohio and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through May 16, 2027 and lists Patrick T Boylan, Owner / Physician, as its authorized official.

NPPES Registry Identity

NPI1497740617
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLAKE COUNTY PAIN & DIAGNOSTIC
Location Address8401 MENTOR AVE, STE AMentor, OH 44060-5842
Mailing Address9485 Mentor Ave Ste 203Mentor, OH 44060-8723 · (440) 205-9119 · Fax (440) 205-9209
Fax(440) 205-9209
Organization SubpartYesParent: Patrick T. Boylan, Md Inc
Authorized OfficialPatrick T BoylanOwner / Physician · (440) 205-9119
Enumeration DateSeptember 14, 2005
Last NPPES UpdateMarch 2, 2020
NPPES CertifiedMarch 2, 2020
NPI 1497740617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in OH · 0743A5
8401 MENTOR AVE, Mentor, OH 44060

Accepted Insurance

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 36D1040749

Lake County Pain And Diagnostic Center · Mentor, OH
Active · expires May 16, 2027
CLIA Number36D1040749
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 17, 2025
Certificate Expiration DateMay 16, 2027
Laboratory DirectorPatrick Boylan
Laboratory Phone(440) 205-0080
Laboratory LocationLake County Pain And Diagnostic Center8401 Mentor Avenue Suite A, Mentor, OH 44060
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
231 services132 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
102 services79 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
44 services27 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
37 services20 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
36 services29 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
19 services15 patients

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Radiology, Mammography)
8401 MENTOR AVE
MENTOR, OH 44060
Prosthetic/Orthotic Supplier
8401 MENTOR AVE, SUITE C
MENTOR, OH 44060
Radiology (Diagnostic Radiology)
8401 MENTOR AVE
MENTOR, OH 44060

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 Lake County Pain & Diagnostic's NPI number?

The NPI number for Lake County Pain & Diagnostic is 1497740617. It was assigned to this organization in the NPPES registry on September 14, 2005.

Where is Lake County Pain & Diagnostic located?

Lake County Pain & Diagnostic is located at 8401 Mentor Ave Ste A, Mentor, OH 44060. The listed phone number is (440) 205-9119.

What is Lake County Pain & Diagnostic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Lake County Pain & Diagnostic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1040749) is associated with this NPI, valid through May 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake County Pain & Diagnostic accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Lake County Pain & Diagnostic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake County Pain & Diagnostic was last updated on March 2, 2020. 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.