Healthcare Provider Details
I. General information
NPI: 1467744094
Provider Name (Legal Business Name): RIM ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2011
Last Update Date: 03/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
29001 CEDAR RD STE 655
LYNDHURST OH
44124-4041
US
IV. Provider business mailing address
29001 CEDAR RD STE 655
LYNDHURST OH
44124-4041
US
V. Phone/Fax
- Phone: 440-249-4455
- Fax: 440-290-2645
- Phone: 440-520-0011
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 35054227 |
| License Number State | OH |
VIII. Authorized Official
Name:
THOMAS
J
MORLEDGE
Title or Position: OWNER
Credential: MD
Phone: 440-249-4455