Organization
SOUTHSIDE RADIOLOGY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY UNGER (PRESIDENT)
(216) 491-7014
Entity
Organization
Contact information
Practice address
4110 WARRENSVILLE CTR RD, CLEVELAND, OH 44122-7051
(216) 491-7014
(216) 491-7575
Mailing address
4110 WARRENSVILLE CTR RD, CLEVELAND, OH 44122-7051
(216) 491-7014
(216) 491-7575
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130941
—
OH
Enumeration date
08/12/2005
Last updated
01/24/2008
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