Omni Medical Services Inc | |
241 N Superior St Ste 102 Toledo OH 43604-1253 | |
(419) 214-3220 | |
(866) 271-1135 |
Full Name | Omni Medical Services Inc |
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Speciality | Clinic/Center |
Location | 241 N Superior St Ste 102, Toledo, Ohio |
Authorized Official Name and Position | Ryan Oertell Lakin (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 3127209313 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Omni Medical Services Inc 241 N Superior St Ste 102 Toledo OH 43604-1253 Ph: (419) 214-3220 | Omni Medical Services Inc 241 N Superior St Ste 102 Toledo OH 43604-1253 Ph: (419) 214-3220 |
NPI Number | 1427619089 |
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Provider Enumeration Date | 06/25/2019 |
Last Update Date | 06/25/2019 |
Medicare PECOS PAC ID | 5597096800 |
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Medicare Enrollment ID | O20191210001808 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427619089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Ryan Oertell Lakin |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1366693772 PECOS PAC ID: 1759557218 Enrollment ID: I20120104000700 |
Provider Name | Peter P Gerley |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1629230362 PECOS PAC ID: 8527122092 Enrollment ID: I20220103001980 |
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