SELF-EMPLOYED
NPI 1689077125
Physiological Laboratory in Painesville, OH

Active since September 29, 2014
95B BARLEY DR, PAINESVILLE, OH 44077(440) 251-9701 Get Directions Write a Review

NPPES record last updated: September 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Self-employed NPPES

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

SELF-EMPLOYED (NPI 1689077125) is a healthcare organization registered as a physiological laboratory in Painesville, Ohio and active in the NPI registry since September 2014. The organization lists Delmesha Jackson, Stna, as its authorized official.

NPPES Registry Identity

NPI1689077125
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameSELF-EMPLOYED
Location Address95B BARLEY DRPainesville, OH 44077-5349
Mailing Address95b Barley DrPainesville, OH 44077-5349 · (440) 251-9701
Organization SubpartNo
Authorized OfficialDelmesha JacksonStna · (440) 251-9701
Enumeration DateSeptember 29, 2014
NPI 1689077125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
License Licensed in OH · 47
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
95B BARLEY DR, Painesville, OH 44077

Other Providers at the Same Location NPPES

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

Nurse's Aide
95B BARLEY DR
PAINESVILLE, OH 44077

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 Self-Employed's NPI number?

The NPI number for Self-Employed is 1689077125. It was assigned to this organization in the NPPES registry on September 29, 2014.

Where is Self-Employed located?

Self-Employed is located at 95B Barley Dr, Painesville, OH 44077. The listed phone number is (440) 251-9701.

What is Self-Employed's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Self-Employed was last updated on September 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.