Organization
SUBURBAN CARDIOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LANE MD (MEDICAL DIRECTOR)
(216) 381-1311
Entity
Organization
Contact information
Practice address
4180 WARRENSVILLE CENTER ROAD, WARRENSVILLE HTS, OH 44122
(216) 751-6650
Mailing address
7500 OLD OAK BLVD, MIDDLEBURG HTS., OH 44130-0000
(440) 777-6300
(440) 777-2330
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0721517
—
OH
Enumeration date
04/17/2006
Last updated
01/30/2009
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