Organization
ENDOSCOPY CENTER OF NORTHERN OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HARTSHORN (OFFICER/AUTHORIZED OFFICIAL)
(314) 800-2017
Entity
Organization
Contact information
Practice address
1299 INDUSTRIAL PARKWAY NORTH, SUITE 120, BRUNSWICK, OH 44212-4316
(330) 225-6468
(330) 225-6534
Mailing address
1299 INDUSTRIAL PARKWAY NORTH, SUITE 120, BRUNSWICK, OH 44212-4316
(330) 225-6468
(330) 225-6534
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0659AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2307408
—
OH
Enumeration date
08/05/2006
Last updated
09/17/2024
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