Provider Demographics
NPI:1851690648
Name:SHERIDAN ENTERPRISES
Entity Type:Organization
Organization Name:SHERIDAN ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERIDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-270-2380
Mailing Address - Street 1:25 N CANFIELD NILES RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-2328
Mailing Address - Country:US
Mailing Address - Phone:330-270-2380
Mailing Address - Fax:330-270-2382
Practice Address - Street 1:25 N CANFIELD NILES RD
Practice Address - Street 2:SUITE 160
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-2328
Practice Address - Country:US
Practice Address - Phone:330-270-2380
Practice Address - Fax:330-270-2382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory