# CLEVELAND ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cleveland Surgical Suites
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417937756
- **Authorized official:** JAMES WACHTER (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (636) 227-2600

## Contact information

- **Practice address:** 5106 WILSON MILLS RD, RICHMOND HEIGHTS, OH 44143-3006
- **Practice address phone:** (440) 461-2570
- **Practice address fax:** (440) 461-7109
- **Mailing address:** 15933 CLAYTON RD STE 210, BALLWIN, MO 63011-2172
- **Mailing address phone:** (636) 227-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0448AS | OH | Yes |

## Other

- **Enumeration date:** 01/20/2006
- **Last updated:** 04/20/2023