University Suburban Health Center

LBN: University Suburban Health Center
University Suburban Health Center is an health care organization with primary practice located at 1611 South Green Road Suite 011, South Euclid OH 44121-4129. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. University Suburban Health Center can be contacted via phone (216) 382-8920, or through Abbey, Charles R via phone (216) 297-2032.

Contact Information

Primary practice address
1611 South Green Road Suite 011 South Euclid OH 44121-4129
Fax: (216) 382-1684
Website:
Authorized official contact:
Name: Abbey, Charles R

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 36D0337191CLIA Ohio
Laboratories / Clinical Medical Laboratory 291U00000X CLIA36D0337191

Profile Details

NPI number 1255383097
LBN Legal business name University Suburban Health Center
DBA Doing business as
Authorized official Abbey, Charles R
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Sep 14th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255383097 NPPES
Ohio MEDICAID 0316643

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