Organization
CLINIC MEDICAL SERVICES COMPANY
Active
Parent organization
CLEVELAND CLINIC FOUNDATION
Other names
Cleveland Clinic Star Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEVELAND CLINIC FOUNDATION
Authorized official
MS. DIANE MARIE MAIORANA (MANAGED CARE MANAGER)
(216) 642-8165
Entity
Organization
Contact information
Practice address
921A JASONWAY AVE, COLUMBUS, OH 43214-2330
(614) 748-6100
(614) 748-6109
Mailing address
6100 W CREEK RD, SUITE 35, INDEPENDENCE, OH 44131-2133
(216) 642-8165
(216) 642-1064
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1017IC
OH
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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