Organization
CENTRAL OHIO UROLOGY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA M. MILLER M.B.A. (COO)
(614) 944-4820
Entity
Organization
Contact information
Practice address
3100 PLAZA PROPERTIES BOULEVARD, SUITE 320, COLUMBUS, OH 43219
(614) 751-1010
(614) 751-4692
Mailing address
3100 PLAZA PROPERTIES BLVD, SUITE 310, COLUMBUS, OH 43219-1531
(614) 944-4800
(614) 944-4750
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0843AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2863325
MEDICARE ID NUMBER
OH
01
—
36C0001231
MEDICARE CERTIFICATION NUMBER
OH
Enumeration date
08/09/2007
Last updated
03/31/2011
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