# TRISTATE VEIN CENTERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Laser and Cosmetic Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871757559
- **Authorized official:** DR. FARZIN FORUHARI M.D. (PHYSICIAN)
- **Authorized official phone:** (513) 662-8346

## Contact information

- **Practice address:** 3006 GLENMORE AVE, SUITE B, CINCINNATI, OH 45238-2203
- **Practice address phone:** (513) 662-8346
- **Practice address fax:** (513) 662-0033
- **Mailing address:** 3006 GLENMORE AVE, SUITE B, CINCINNATI, OH 45238-2203
- **Mailing address phone:** (513) 662-8346
- **Mailing address fax:** (513) 662-0033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 35077989 | OH | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | 35083656 | OH | — |

## Other

- **Enumeration date:** 07/11/2008
- **Last updated:** 01/14/2016