Canton Orthotic Laboratory Inc

LBN: Canton Orthotic Laboratory Inc
Canton Orthotic Laboratory Inc is an health care organization with primary practice located at 2400 Wales Ave Nw Suite H, Massillon OH 44646-0804. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Customized Equipment is the primary health care specialty. Canton Orthotic Laboratory Inc can be contacted via phone (330) 833-0955, or through Simko, Stephen Thomas via phone (330) 833-0955.

Contact Information

Primary practice address
2400 Wales Ave Nw Suite H Massillon OH 44646-0804
Fax: (330) 833-0980
Website:
Authorized official contact:
Name: Simko, Stephen Thomas

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1073576617
LBN Legal business name Canton Orthotic Laboratory Inc
DBA Doing business as
Authorized official Simko, Stephen Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073576617 NPPES
Ohio Other 000000155415 ANTHEM COMMUNITY MUTUAL
Ohio MEDICAID 0291143 ANTHEM COMMUNITY MUTUAL

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