Organization
SOUTHWEST CLEVELAND SLEEP CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED MANSOOR MD (PRESIDENT)
(440) 239-7533
Entity
Organization
Contact information
Practice address
29160 CENTER RIDGE RD, SUITE S, WESTLAKE, OH 44145-5225
(440) 250-9194
(440) 250-0060
Mailing address
17900 JEFFERSON PARK RD, SUITE 102, CLEVELAND, OH 44130-3437
(440) 239-7533
(440) 239-2585
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000287200
ANTHEM
OH
01
—
22653
QUALCHOICE
OH
Enumeration date
09/26/2006
Last updated
04/20/2008
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