Provider Demographics
NPI:1912356726
Name:ORDINARY24, LLC
Entity Type:Organization
Organization Name:ORDINARY24, LLC
Other - Org Name:ORDINARY24
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO & CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYNARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-814-7495
Mailing Address - Street 1:4301 DARROW RD
Mailing Address - Street 2:SUITE 4400A
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-2694
Mailing Address - Country:US
Mailing Address - Phone:844-388-8734
Mailing Address - Fax:
Practice Address - Street 1:4301 DARROW RD
Practice Address - Street 2:SUITE 4400A
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-2694
Practice Address - Country:US
Practice Address - Phone:844-388-8734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-13
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory