Organization
ON DEMAND COUNSELING LAB
Active
Parent organization
ON DEMAND COUNSELING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ON DEMAND COUNSELING LLC
Authorized official
MR. THOMAS IVANY (OWNER)
(330) 270-3660
Entity
Organization
Contact information
Practice address
5760 PATRIOT BLVD, AUSTINTOWN, OH 44515
(330) 270-3660
(330) 270-2690
Mailing address
102 WESTCHESTER DR, AUSTINTOWN, OH 44515-3963
(330) 270-3660
(330) 270-2690
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0246535
—
OH
Enumeration date
01/14/2019
Last updated
01/14/2019
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