| NPI | 1104994219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY A BLACKBURN President 216-688-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 35053437) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OH 35053437) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |