SEVERANCE RADIOLOGY SERVICES INC. NPI 1063585628

NPI Information

NPI: 1063585628
Provider Name: SEVERANCE RADIOLOGY SERVICES, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
5 SEVERANCE CIR
SUITE 207
CLEVELAND HEIGHTS, OH
ZIP 44118
Phone: (216) 382-7165
Get Directions

SEVERANCE RADIOLOGY SERVICES, INC. is a diagnostic radiology radiology in Cleveland Heights, OH. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SEVERANCE RADIOLOGY SERVICES, INC. NPI is 1063585628. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5 SEVERANCE CIR
SUITE 207
CLEVELAND HEIGHTS, OH
ZIP 44118-566
Phone: (216) 382-7165
Fax: (216) 382-7166

The provider's authorized official is Elizabeth Nolan .
The authorized official title is Owner and has the following contact phone number (216) 382-7165.

The enumeration date for this NPI number is 11/15/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes
2	2085U0001X	Radiology	Diagnostic Ultrasound			X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	09913601779	MEDICAID	OHIO

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

NPI Synchronization or Removal

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