OrganizationActive
Inform Diagnostics, Inc.
NPI 1760287445 · Clinical & Laboratory Dermatological Immunology Physician · Brecksville, OH
Provider details
- NPI number
- 1760287445
- Entity type
- Organization
- Primary specialty
- Clinical & Laboratory Dermatological Immunology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Inform Diagnostics, Inc.
- Organization subpart
- Yes
- Authorized official
- Raymond Wicker, Vp, General Manager(678) 477-4402
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10393 Parkside Dr
Brecksville, OH 44141-3802
Phone: (888) 290-5307
Approximate (ZIP-level) locationGet directions
Mailing address
1111 S Freeport Pkwy
Coppell, TX 75019-4435
Registry dates
- Enumerated
- 2025-02-17
- Last updated
- 2025-02-17
- Certified
- 2025-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.