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Organization
CLEVELAND ASC LLC
Active
Organization
CLEVELAND ASC LLC
Active
Other names
Cleveland Surgical Suites
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WACHTER (CHIEF MEDICAL OFFICER)
(636) 227-2600
Entity
Organization
Contact information
Practice address
5106 WILSON MILLS RD, RICHMOND HEIGHTS, OH 44143-3006
(440) 461-2570
(440) 461-7109
Mailing address
15933 CLAYTON RD STE 210, BALLWIN, MO 63011-2172
(636) 227-2600
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0448AS
OH
Other
Enumeration date
01/20/2006
Last updated
04/20/2023
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