Cleveland Breast Clinic

LBN: Cleveland Breast Clinic
Cleveland Breast Clinic is an health care organization with primary practice located at 18660 Bagley Rd Ste. 305 Bldg. 2, Cleveland OH 44130-3483. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as the primary health care specialty. Cleveland Breast Clinic can be contacted via phone (440) 234-9338, or through Shatila, Ahmad H. via phone (440) 234-9338.

Contact Information

Primary practice address
18660 Bagley Rd Ste. 305 Bldg. 2 Cleveland OH 44130-3483
Fax: (440) 234-1448
Website:
Authorized official contact:
Name: Shatila, Ahmad H. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X Ohio

Profile Details

NPI number 1215155015
LBN Legal business name Cleveland Breast Clinic
DBA Doing business as
Authorized official Shatila, Ahmad H. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215155015 NPPES
Ohio Other 000006129197 BLUE CROSS
Ohio Other 1500454 BLUE CROSS

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