Organization
NORTH SHORE PATHOLOGY LLC
Active
Parent organization
NORTH SHORE GASTROENTEROLOGY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH SHORE GASTROENTEROLOGY INC
Authorized official
MR. CHRIS WAYNAR (COO)
(440) 250-7698
Entity
Organization
Contact information
Practice address
850 COLUMBIA RD STE 200, WESTLAKE, OH 44145-7215
(440) 808-1212
(440) 808-2060
Mailing address
850 COLUMBIA RD STE 200, WESTLAKE, OH 44145-7215
(440) 808-1212
(440) 808-0321
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EC9199
MEDICARE RAILROAD
OH
Enumeration date
05/30/2012
Last updated
05/27/2025
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