Provider Demographics
NPI:1114929882
Name:ZAK ENTERPRISES LTD
Entity Type:Organization
Organization Name:ZAK ENTERPRISES LTD
Other - Org Name:CLINICAL HEALTH LABORATORIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ZARLENGA-KALINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-261-9700
Mailing Address - Street 1:26300 EUCLID AVE
Mailing Address - Street 2:STE 810
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44132-3708
Mailing Address - Country:US
Mailing Address - Phone:216-261-9700
Mailing Address - Fax:216-261-3955
Practice Address - Street 1:26300 EUCLID AVE
Practice Address - Street 2:STE 810
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44132-3708
Practice Address - Country:US
Practice Address - Phone:216-261-9700
Practice Address - Fax:216-261-3955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-12
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH291U00000X, 291U00000X, 291U00000X, 291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2467905Medicaid
P00059017OtherRAILROAD MEDICARE
OHD369221Medicare PIN
OHD369231Medicare PIN
OHD369211Medicare PIN
OHD369201Medicare PIN
OHD369191Medicare PIN