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Organization

SEVERANCE RADIOLOGY SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELIZABETH NOLAN (OWNER)
(216) 382-7165
Entity
Organization

Contact information

Practice address
5 SEVERANCE CIR, SUITE 207, CLEVELAND HEIGHTS, OH 44118-1566
(216) 382-7165
(216) 382-7166
Mailing address
5 SEVERANCE CIR, SUITE 207, CLEVELAND HEIGHTS, OH 44118-1566
(216) 382-7165
(216) 382-7166

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2085U0001X
Diagnostic Ultrasound Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09913601779
OH
Enumeration date
11/15/2006
Last updated
09/11/2025
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