Healthcare Provider Details

I. General information

NPI: 1851006860
Provider Name (Legal Business Name): CARING MAGNIFICENT HEART'S & TESTING FACILITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2023
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26300 EUCLID AVE STE 205
EUCLID OH
44132-3708
US

IV. Provider business mailing address

26300 EUCLID AVE STE 205
EUCLID OH
44132-3708
US

V. Phone/Fax

Practice location:
  • Phone: 440-334-4634
  • Fax:
Mailing address:
  • Phone: 216-417-0340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA A TAYLOR
Title or Position: CEO
Credential: COLLECTION TECH
Phone: 216-417-0340