SUBURBAN NEURODIAGNOSTIC SERVICES; NPI #1104870120

Contact Information

SUBURBAN NEURODIAGNOSTIC SERVICES

4180 WARRENSVILLE CENTER RD
WARRENSVILLE HEIGHTS, OH 44122

Phone: 440-777-6300
Fax: 440-777-2330
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Neurology	2084N0400X	13	Physician/Neurology

Indicates primary specialty

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NPI Profile & details for SUBURBAN NEURODIAGNOSTIC SERVICES

NPI Number 1104870120

LBN Legal business name SUBURBAN NEURODIAGNOSTIC SERVICES

Authorized official HAROLD MARS - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/22/2006

Last updated 01/30/2009 - About 17 years ago

Identifiers

Medicaid

0755688

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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