Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLEANSLATE MEDICAL GROUP OF OHIO LLC
Active OrganizationCLEANSLATE MEDICAL GROUP OF OHIO LLC is a Addiction Medicine (Internal Medicine) organization located in MORAINE, Ohio. NPI 1558800193 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Internal Medicine) · MORAINE, OH
Registration Details
- NPI Number
- 1558800193
- Provider Type
- Organization
- NPI Issued
- Feb 15, 2017 (9.5399768552449 yrs)
- Last Updated
- Dec 17, 2025
Practice Information
- Address
-
4700 SPRINGBORO PIKE STE CMORAINE, OH, 454391982Browse OH providers · Browse ZIP 45439
- Phone
- 9375585100
- Fax
- 8332797074
- Primary Specialty
-
Addiction Medicine (Internal Medicine)
207RA0401X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.