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Organization
MARYMOUNT HOSPITAL, INC.
Active
Organization
MARYMOUNT HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
(216) 445-1343
Entity
Organization
Contact information
Practice address
12300 MCCRACKEN RD, GARFIELD HEIGHTS, OH 44125-2914
(216) 587-8686
(216) 587-8274
Mailing address
12300 MCCRACKEN RD, GARFIELD HTS, OH 44125-2914
(216) 587-8146
(216) 587-8831
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2141677
—
OH
Enumeration date
05/18/2006
Last updated
08/25/2025
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