MARYMOUNT HOSPITAL INC. NPI 1720031131

NPI Information

  • NPI: 1720031131
  • Provider Name: MARYMOUNT HOSPITAL, INC.
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Organization
  • CLIA Number: 36D0688090
  • Address: 12300 MCCRACKEN RD
    GARFIELD HEIGHTS, OH
    ZIP 44125
  • Phone: (216) 587-8686

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NPI Details

MARYMOUNT HOSPITAL, INC. is an anatomic pathology and clinical pathology pathology in Garfield Heights, OH. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. MARYMOUNT HOSPITAL, INC. NPI is 1720031131. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12300 MCCRACKEN RD
GARFIELD HEIGHTS, OH
ZIP 44125-914
Phone: (216) 587-8686
Fax: (216) 587-8274

The provider's authorized official is Dennis Laraway .
The authorized official title is Executive Vp Chief Finance Officer and has the following contact phone number (216) 445-1343.

The CLIA number assigned to this NPI record is 36D0688090 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 8/25/2025.

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
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyYes

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
12141677MEDICAIDOHIO

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: 11/21/2025

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