Provider Demographics
NPI:1750658589
Name:O K LLC
Entity Type:Organization
Organization Name:O K LLC
Other - Org Name:PINNACLE THERAPEUTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:T
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-404-7590
Mailing Address - Street 1:28957 FORESTGROVE RD
Mailing Address - Street 2:
Mailing Address - City:WILLOWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44095-4767
Mailing Address - Country:US
Mailing Address - Phone:216-404-7590
Mailing Address - Fax:216-619-9066
Practice Address - Street 1:2000 LEE RD
Practice Address - Street 2:SUITE 15
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-2572
Practice Address - Country:US
Practice Address - Phone:216-404-7590
Practice Address - Fax:216-619-9066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies