Organization
SOUTHSIDE RADIOLOGY ASSOCIATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY UNGER M.D. (PRESIDENT)
(216) 491-7014
Entity
Organization
Contact information
Practice address
20000 HARVARD AVE, WARRENSVILLE HEIGHTS, OH 44122-6805
(216) 491-7011
Mailing address
20000 HARVARD AVE, WARRENSVILLE HEIGHTS, OH 44122-6805
(216) 491-7011
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
45848
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0448359
—
OH
Enumeration date
02/08/2008
Last updated
02/08/2008
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