| Organization Name: | UNIVERSITY SUBURBAN HEALTH CENTER |
| NPI Number: | 1215989447 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES R ABBEY (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1611 South Green Road Suite 016 South Euclid |
| State: | OH US |
| Postal Code: | 441214129 |
| Phone Number: | 2163828920 |
| Fax Number: | 2163821684 |
| NPI Enumeration Date: | 05/16/2006 |
| NPI Last Update Date: | 09/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0206X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mammography |
| Taxonomy Definition: | |