# PEARL ROAD SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720268279
- **Authorized official:** MR. ROGER CORLE (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 778-0488

## Contact information

- **Practice address:** 6900 PEARL RD, CLEVELAND, OH 44130-3604
- **Practice address phone:** (440) 882-0103
- **Mailing address:** 370 MALLORY STATION RD, SUITE 504, FRANKLIN, TN 37067-2863
- **Mailing address phone:** (615) 778-0488
- **Mailing address fax:** (615) 778-9337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0874AS | OH | Yes |

## Other

- **Enumeration date:** 11/13/2007
- **Last updated:** 09/24/2015