Healthcare Provider Details

I. General information

NPI: 1174847461
Provider Name (Legal Business Name): LEIMKUEHLER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2010
Last Update Date: 08/18/2021
Certification Date: 08/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5403 MAYFIELD RD
LYNDHURST OH
44124-2911
US

IV. Provider business mailing address

4625 DETROIT AVE
CLEVELAND OH
44102-2214
US

V. Phone/Fax

Practice location:
  • Phone: 440-442-0454
  • Fax: 440-442-0597
Mailing address:
  • Phone: 216-651-7788
  • Fax: 216-651-4057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: JAMES LEIMKUEHLER
Title or Position: MANAGER
Credential: CFO
Phone: 216-651-7788