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Organization
BIRCHCREST HOLDINGS, LLC
Active
Organization
BIRCHCREST HOLDINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK CORNELL (PRESIDENT)
(216) 765-8390
Entity
Organization
Contact information
Practice address
19250 BAGLEY RD STE 202, CLEVELAND, OH 44130
(440) 260-9970
(440) 260-9980
Mailing address
4760 RICHMOND RD STE 300, CLEVELAND, OH 44128-5979
(216) 765-8390
(216) 765-8392
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
261QR0200X
Radiology Clinic/Center
—
NULL
Other
Enumeration date
01/11/2013
Last updated
08/17/2018
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