Provider Demographics
NPI:1972692317
Name:EUCLID RADIOLOGY SERVICES LLC
Entity type:Organization
Organization Name:EUCLID RADIOLOGY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-731-3618
Mailing Address - Street 1:26300 EUCLID AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-3708
Mailing Address - Country:US
Mailing Address - Phone:216-731-3618
Mailing Address - Fax:216-731-0411
Practice Address - Street 1:26300 EUCLID AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-3708
Practice Address - Country:US
Practice Address - Phone:216-731-3618
Practice Address - Fax:216-731-0411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography