Organization
EASTSIDE MRI LIMITED PARTNERSHIP
Active
Other names
EASTSIDE IMAGING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY A. KAMPMAN CPA (CHIEF FINANCIAL OFFICER)
(216) 831-9786
Entity
Organization
Contact information
Practice address
2785 SOM CENTER RD, WILLOUGHBY HILLS, OH 44094-6501
(440) 944-8887
Mailing address
25001 EMERY RD, SUITE 100, CLEVELAND, OH 44128-5626
(216) 831-9786
(216) 831-2425
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
0142IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0658775
—
OH
Enumeration date
08/04/2006
Last updated
07/15/2011
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