Organization
VEIN CARE OF OHIO-WEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY A BLACKBURN M.D. (PRESIDENT)
(216) 688-8000
Entity
Organization
Contact information
Practice address
4330 W 150TH ST, SUITE 103, CLEVELAND, OH 44135-1362
(216) 688-8000
(216) 688-0075
Mailing address
4330 W 150TH ST, SUITE 103, CLEVELAND, OH 44135-1362
(216) 688-8000
(216) 688-0075
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
35053437
OH
208D00000X
General Practice Physician
Primary
35053437
OH
Other
Enumeration date
11/30/2006
Last updated
09/11/2025
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