Organization
ROCKSIDE ROAD SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK JANACK (OPERATIONS MANAGER)
(216) 447-6070
Entity
Organization
Contact information
Practice address
6701 ROCKSIDE RD, SUITE 101, INDEPENDENCE, OH 44131-2358
(216) 524-0120
(216) 524-0455
Mailing address
6701 ROCKSIDE RD, SUITE 101, INDEPENDENCE, OH 44131-2358
(216) 524-0120
(216) 524-0455
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0722AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2457149
—
OH
Enumeration date
01/14/2008
Last updated
01/14/2008
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