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Angiographic Laboratory, LLC

Physiological Laboratory in Akron, OH · enumerated 2006 · authorized official Bryan Fredericks, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134210297

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Registry record

Entity type Organization (Type 2)
Legal business name Angiographic Laboratory, LLC
Other name <Unavail>
Practice address 95 Arch St, Suite 115, Akron, OH, 44304
Phone (330) 375-6520
Fax (330) 375-6521
Enumeration date Sep 27, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

293D00000X Physiological Laboratory Laboratories Primary

Authorized official

Name Bryan Fredericks
Title Executive Director
Phone (330) 375-3812

Other identifiers

Identifier Type State Issuer
2480337 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Angiographic Laboratory, LLC?
NPPES lists Bryan Fredericks (Executive Director) as the authorized official for this organization.
What is the NPI number for Angiographic Laboratory, LLC?
The NPI for Angiographic Laboratory, LLC is 1134210297, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.