# MEP OBSERVATION SERVICES LLC

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

## Provider details

- **NPI number:** 1740021625
- **Authorized official:** JENNIFER CHASTAIN (PROVIDER ENROLLMENT)
- **Authorized official phone:** (330) 493-4443

## Contact information

- **Practice address:** 9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3357
- **Practice address phone:** (844) 474-4019
- **Mailing address:** 4535 DRESSLER RD NW, CANTON, OH 44718-2545
- **Mailing address phone:** (844) 474-4019
- **Mailing address fax:** (330) 493-8677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2024
- **Last updated:** 12/18/2024