Organization
UNIVERSITY SUBURBAN HEALTH CENTER
Active
Organization
UNIVERSITY SUBURBAN HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R ABBEY (EXECUTIVE DIRECTOR)
(216) 297-2032
Entity
Organization
Contact information
Practice address
1611 SOUTH GREEN ROAD, SUITE 011, SOUTH EUCLID, OH 44121-4129
(216) 382-8920
(216) 382-1684
Mailing address
1611 SOUTH GREEN ROAD, SUITE 009, SOUTH EUCLID, OH 44121-4129
(216) 382-8920
(216) 382-1684
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
36D0337191CLIA
OH
291U00000X
Clinical Medical Laboratory
Primary
CLIA36D0337191
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0316643
—
OH
Enumeration date
05/17/2006
Last updated
09/14/2011
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