{"npi":"1497740617","type":"NPI-2","status":"active","name":{"display":"Lake County Pain & Diagnostic","other":[],"organization_name":"LAKE COUNTY PAIN & DIAGNOSTIC","authorised_official":"Patrick Boylan"},"specialty":{"primary_taxonomy":"261QA1903X","primary_taxonomy_description":"Ambulatory Surgical Clinic/Center","slug":"ambulatory-surgical-clinic-center","schema_org_specialty":null,"all":[{"code":"261QA1903X","description":"Ambulatory Surgical Clinic/Center","primary":true,"state":"OH","license":"0743A5"}]},"addresses":[{"purpose":"LOCATION","street_1":"8401 MENTOR AVE","city":"MENTOR","state":"OH","postal_code":"440605842","country_code":"US","street_2":"STE A","phone":"4402059119","fax":"4402059209"},{"purpose":"MAILING","street_1":"9485 MENTOR AVE STE 203","city":"MENTOR","state":"OH","postal_code":"440608723","country_code":"US","phone":"4402059119","fax":"4402059209"}],"license":{"state":"OH","number":"0743A5"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040504000204","type_code":"12-49","type_desc":"PART B SUPPLIER - AMBULATORY SURGICAL CENTER","state":"OH","pac_id":"1850389313"}]},"enumeration_date":"2005-09-14","last_updated":"2020-03-02","_meta":{"source":"NPPES","snapshot_date":"2020-03-02","doc_url":"https://findmynpi.com/api"}}