Provider Demographics
NPI:1356507743
Name:RIDGE-PLEASANT VALLEY, INC.
Entity Type:Organization
Organization Name:RIDGE-PLEASANT VALLEY, INC.
Other - Org Name:PLEASANTVIEW CARE CENTER - LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:DASKAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-898-8399
Mailing Address - Street 1:7377 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-6602
Mailing Address - Country:US
Mailing Address - Phone:440-845-0200
Mailing Address - Fax:
Practice Address - Street 1:7377 RIDGE RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-6602
Practice Address - Country:US
Practice Address - Phone:440-845-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36D0976732291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory