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NPI Code Detail

MEDICARE: UNIVERSITY RADIOLOGISTS OF CLEVELAND INC

MEDICARE: UNIVERSITY RADIOLOGISTS OF CLEVELAND INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085N0700XNeuroradiology Physician
22085N0904XNuclear Radiology Physician
32085R0202XDiagnostic Radiology Physician
42085P0229XPediatric Radiology Physician
5363L00000XNurse Practitioner

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CA1714OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295788149
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY RADIOLOGISTS OF CLEVELAND INC
Provider Business Mailing Address
First Line : 5910 LANDERBROOK DR
Second Line : SUITE 250
City : MAYFIELD HTS
State : OH
Zip : 44124-6508
Country : US
Telephone Number : 440-684-5865
Fax Number : 440-449-1555
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1736
Country : US
Telephone Number : 216-844-1700
Fax Number :
Authorized Official
Title or Position : PRACTICE ADMINISTRATOR
Name : SHERRIE LARM
Credential :
Telephone Number : 216-844-1859
Provider Enumeration Date : 05/19/2006
Last Update Date : 09/11/2025

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Directions to “UNIVERSITY RADIOLOGISTS OF CLEVELAND INC ” Practice Location

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