Healthcare Provider Details

I. General information

NPI: 1619846888
Provider Name (Legal Business Name): SIGNATURE OBS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8231 CORNELL RD STE 320
CINCINNATI OH
45249-2281
US

IV. Provider business mailing address

8231 CORNELL RD STE 320
CINCINNATI OH
45249-2281
US

V. Phone/Fax

Practice location:
  • Phone: 513-815-5900
  • Fax:
Mailing address:
  • Phone: 513-815-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALISON EARLY
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 513-815-5900