Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Self-Employed

Organization Physiological Laboratory · NPI 1689077125

Self-Employed is a Physiological Laboratory in Painesville, Ohio. Licensed in Ohio. Registered with an NPI since 2014.

Licensed in
OH
In the registry since
2014

Practice location Address checks out

95B Barley Dr
Painesville, OH 44077-5349
Phone: (440) 251-9701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physiological Laboratory (primary) Taxonomy 293D00000X · Licence 47 (OH)

Record details

NPI number1689077125
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Delmesha Jackson — Stna · (440) 251-9701
NPI enumeratedSeptember 29, 2014
Last updated in NPPESSeptember 29, 2014
Mailing address95b Barley Dr, Painesville, OH 44077-5349