INNOVACARE LLC NPI 1952781452

NPI Information

NPI: 1952781452
Provider Name: INNOVACARE LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
5 SEVERANCE CIR
STE 207
CLEVELAND HTS, OH
ZIP 44118
Phone: (216) 382-8874
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INNOVACARE LLC is a diagnostic radiology radiology in Cleveland Hts, OH. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. INNOVACARE LLC NPI is 1952781452. 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
STE 207
CLEVELAND HTS, OH
ZIP 44118-566
Phone: (216) 382-8874
Fax: (216) 382-7166

The provider's authorized official is Thomas C Cully .
The authorized official title is President and has the following contact phone number (440) 274-5000.

The enumeration date for this NPI number is 6/1/2015 and was last updated on 8/10/2015.

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	2085R0202X	Radiology	Diagnostic Radiology	2375254	OHIO	Yes

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	2375254	OTHER	OHIO	OHIO LICENSE

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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