Organization
SURGCENTER HUDSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALID G LABABIDI CRNA (PRESIDENT)
(330) 208-2720
Entity
Organization
Contact information
Practice address
5700 DARROW RD, STE 109, HUDSON, OH 44236-5021
(330) 208-2720
(330) 208-2721
Mailing address
2215 E WATERLOO RD, STE 313, AKRON, OH 44312-3856
(330) 208-2720
(330) 208-2721
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0781AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2655201
—
OH
Enumeration date
07/02/2006
Last updated
02/25/2019
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