Provider Demographics
NPI:1760435168
Name:LABABIDI ENTERPRISES INC.
Entity Type:Organization
Organization Name:LABABIDI ENTERPRISES INC.
Other - Org Name:DBA: OHIO ANESTHESIA ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WALID
Authorized Official - Middle Name:G
Authorized Official - Last Name:LABABIDI
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:330-208-2720
Mailing Address - Street 1:2215 E WATERLOO RD
Mailing Address - Street 2:SUITE 313
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-3856
Mailing Address - Country:US
Mailing Address - Phone:330-208-2720
Mailing Address - Fax:330-208-2721
Practice Address - Street 1:1560 CORPORATE WOODS PKWY
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-8730
Practice Address - Country:US
Practice Address - Phone:330-208-2720
Practice Address - Fax:330-208-2721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2104743Medicaid
OH9302371Medicare PIN