Healthcare Provider Details

I. General information

NPI: 1528549151
Provider Name (Legal Business Name): MARIA MCGEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2018
Last Update Date: 08/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3222 E 130TH ST
CLEVELAND OH
44120-3966
US

IV. Provider business mailing address

3222 E 130TH ST
CLEVELAND OH
44120-3966
US

V. Phone/Fax

Practice location:
  • Phone: 216-242-8277
  • Fax:
Mailing address:
  • Phone: 216-242-8277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: