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VEIN CARE OF OHIO-WEST LLC NPI 1104994219


NPI Information

NPI: 1104994219
Provider Name: VEIN CARE OF OHIO-WEST, LLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
4330 W 150TH ST
SUITE 103
CLEVELAND, OH
ZIP 44135
Phone: (216) 688-8000
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VEIN CARE OF OHIO-WEST, LLC is a vascular and interventional radiology radiology in Cleveland, OH. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. VEIN CARE OF OHIO-WEST, LLC NPI is 1104994219. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4330 W 150TH ST
SUITE 103
CLEVELAND, OH
ZIP 44135-362
Phone: (216) 688-8000
Fax: (216) 688-0075

The provider's authorized official is Bradley A Blackburn .
The authorized official title is President and has the following contact phone number (216) 688-8000.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional Radiology35053437OHIOYes
2208D00000XGeneral Practice35053437OHIOX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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