AZIMUTH MEDICAL LLC
NPI 1699362863
Clinic/Center - Health Service in Painesville, OH

Active since December 22, 2020CLIA 36D2192740 · Waiver
1701 MENTOR AVE STE 10, PAINESVILLE, OH 44077(440) 391-1308 Get Directions Write a Review

NPPES record last updated: August 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2024, May 14, 2024, Dec 22, 2020 (3 updates tracked since 2020).

About Azimuth Medical Llc NPPES

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

AZIMUTH MEDICAL LLC (NPI 1699362863) is a healthcare organization registered as a health service in Painesville, Ohio and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through September 13, 2026 and lists Peter Orr, Owner/ President, as its authorized official.

NPPES Registry Identity

NPI1699362863
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameAZIMUTH MEDICAL LLC
Location Address1701 MENTOR AVE STE 10Painesville, OH 44077-1459
Mailing Address1701 Mentor Ave Ste 10Painesville, OH 44077-1459 · (440) 391-1308
Organization SubpartNo
Authorized OfficialPeter OrrOwner/ President · (440) 391-1308
Enumeration DateDecember 22, 2020
Last NPPES UpdateAugust 4, 20243 updates tracked since enumeration
NPPES CertifiedAugust 4, 2024
NPI 1699362863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1701 MENTOR AVE STE 10, Painesville, OH 44077

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 36D2192740

Azimuth Medical, LLC · Painesville, OH
Active · expires Sep 13, 2026
CLIA Number36D2192740
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2024
Certificate Expiration DateSeptember 13, 2026
Laboratory DirectorRichard S. Krupkin
Laboratory Phone(440) 898-0058
Laboratory LocationAzimuth Medical, LLC1701 Mentor Ave Suite 10, Painesville, OH 44077
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Registered Nurse
1701 MENTOR AVE STE 10
PAINESVILLE, OH 44077
General Practice
1701 MENTOR AVE STE 10
PAINESVILLE, OH 44077
Physician Assistant
1701 MENTOR AVE STE 10
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 Azimuth Medical LLC's NPI number?

The NPI number for Azimuth Medical LLC is 1699362863. It was assigned to this organization in the NPPES registry on December 22, 2020.

Where is Azimuth Medical LLC located?

Azimuth Medical LLC is located at 1701 Mentor Ave Ste 10, Painesville, OH 44077. The listed phone number is (440) 391-1308.

What is Azimuth Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Azimuth Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2192740) is associated with this NPI, valid through September 13, 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 Azimuth Medical LLC was last updated on August 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.