Healthcare Provider Details

I. General information

NPI: 1487737664
Provider Name (Legal Business Name): BARIX CLINICS OF OHIO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 07/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3964 HAMILTON SQUARE BLVD
GROVEPORT OH
43125-9119
US

IV. Provider business mailing address

3964 HAMILTON SQUARE BLVD
GROVEPORT OH
43125-9119
US

V. Phone/Fax

Practice location:
  • Phone: 614-834-6800
  • Fax: 614-834-6875
Mailing address:
  • Phone: 614-834-6800
  • Fax: 614-834-6875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number200414600574
License Number StateOH

VIII. Authorized Official

Name: MR. LAURENCE H. LENZ JR.
Title or Position: VICE PRESIDENT
Credential:
Phone: 734-547-1114