Organization
SOUTHWEST UROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAOQIANG LIN (EXECUTIVE VICE PRESIDENT & CFO)
(214) 587-4079
Entity
Organization
Contact information
Practice address
18099 LORAIN AVE STE 141, CLEVELAND, OH 44111-4411
(216) 941-0333
(216) 941-5257
Mailing address
PO BOX 931936, ATLANTA, GA 31193-1936
(888) 802-9885
(615) 783-1082
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
02/19/2026
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