Organization
BIRCHCREST HOLDINGS, LLC
Active
Other names
PDI WESTLAKE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK C CORNELL (PRESIDENT)
(216) 765-8390
Entity
Organization
Contact information
Practice address
30400 DETROIT RD, #30 - LOWER LEVEL, WESTLAKE, OH 44145-1872
(216) 765-8390
(216) 765-8392
Mailing address
4760 RICHMOND RD, SUITE 300, CLEVELAND, OH 44128-5978
(216) 765-8390
(216) 765-8392
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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