Organization
MPPS GEORGIAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RICHARD J BROM (PART OWNER)
(216) 731-3618
Entity
Organization
Contact information
Practice address
730 SOM CENTER RD, SUITE 110, CLEVELAND, OH 44143-2350
(440) 446-9800
(440) 460-9810
Mailing address
730 SOM CENTER RD, SUITE 110, CLEVELAND, OH 44143-2350
(440) 446-9800
(440) 460-9810
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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