PEARL ROAD SURGERY CENTER LLC NPI 1720268279

NPI Information

NPI: 1720268279
Provider Name: PEARL ROAD SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 36D1079481

Address:
6900 PEARL RD
CLEVELAND, OH
ZIP 44130
Phone: (440) 882-0103
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PEARL ROAD SURGERY CENTER, LLC is an ambulatory surgical clinic center in Cleveland, OH. PEARL ROAD SURGERY CENTER, LLC NPI is 1720268279. The provider is registered as an organization entity type.

The provider's business location address is:

6900 PEARL RD
CLEVELAND, OH
ZIP 44130-604
Phone: (440) 882-0103

The provider's authorized official is Roger Corle .
The authorized official title is Authorized Official and has the following contact phone number (615) 778-0488.

The CLIA number assigned to this NPI record is 36D1079481 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2007 and was last updated on 9/24/2015.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	0874AS	OHIO	Yes

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: 11/14/2023

NPI Synchronization or Removal

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