INNOVATIVE FAMILY MEDICINE, LLC.
NPI 1548736374
Family Medicine in Dublin, OH

Active since October 19, 2018CLIA 36D2157106 · Waiver
6425 POST RD STE 102, DUBLIN, OH 43016(614) 813-0883(614) 813-7173 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Innovative Family Medicine, Llc. NPPES

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

INNOVATIVE FAMILY MEDICINE, LLC. (NPI 1548736374) is a healthcare organization registered as a family medicine in Dublin, Ohio and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through October 29, 2026 and lists Marvin S. Im, Owner, as its authorized official.

NPPES Registry Identity

NPI1548736374
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINNOVATIVE FAMILY MEDICINE, LLC.
Location Address6425 POST RD STE 102Dublin, OH 43016-1347
Mailing Address6425 Post Rd Ste 102Dublin, OH 43016-1347 · (614) 813-0883 · Fax (614) 813-7173
Fax(614) 813-7173
Organization SubpartNo
Authorized OfficialMarvin S. ImOwner · (614) 517-9637
Enumeration DateOctober 19, 2018
NPI 1548736374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6425 POST RD STE 102, Dublin, OH 43016

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 36D2157106

Innovative Family Medicine, LLC · Dublin, OH
Active · expires Oct 29, 2026
CLIA Number36D2157106
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorMarvin Im
Laboratory Phone(614) 813-0883
Laboratory LocationInnovative Family Medicine, LLC6425 Post Road, Dublin, OH 43017
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.

Family Medicine
6425 POST RD STE 102
DUBLIN, OH 43016
Family Medicine (Sports Medicine)
6425 POST RD STE 102
DUBLIN, OH 43016

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 Innovative Family Medicine, LLC.'s NPI number?

The NPI number for Innovative Family Medicine, LLC. is 1548736374. It was assigned to this organization in the NPPES registry on October 19, 2018.

Where is Innovative Family Medicine, LLC. located?

Innovative Family Medicine, LLC. is located at 6425 Post Rd Ste 102, Dublin, OH 43016. The listed phone number is (614) 813-0883.

What is Innovative Family Medicine, LLC.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Innovative Family Medicine, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2157106) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Innovative Family Medicine, LLC. was last updated on October 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.