Provider Demographics
NPI:1447268230
Name:CLINICAL SPECIALTIES INC.
Entity type:Organization
Organization Name:CLINICAL SPECIALTIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-879-6137
Mailing Address - Street 1:4222 PAYSPHERE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-0042
Mailing Address - Country:US
Mailing Address - Phone:440-717-1700
Mailing Address - Fax:440-717-1705
Practice Address - Street 1:6288 HUDSON CROSSING PKWY
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-4347
Practice Address - Country:US
Practice Address - Phone:440-717-1700
Practice Address - Fax:440-717-1705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 251F00000X, 332BP3500X
OH02-0533450055433336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH22846OtherRESPIRATORY CARE BOARD
IN201050150AMedicaid
PA01974556Medicaid
MI3661229Medicaid
IN64000262AOtherPHARMACY BOARD NON-RESIDENT PHARMACY
KY90002668Medicaid
KY54002316Medicaid
MIL2037237OtherSTATE OF MICHIGAN - PHARMACY LICENSE
0337510001OtherMEDICARE DMEMAC PART B CARRIER
IN69000884AOtherHOME MEDICAL EQUIP SERVICE PROVIDER
OH0772892Medicaid
IN69000884AOtherHOME MEDICAL EQUIP SERVICE PROVIDER