Organization Active NPI

MPPS Georgian, LLC

  • Mammography Clinic/Center
  • Cleveland, OH
National Provider Identifier
1346330529
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
Legal business name
MPPS GEORGIAN, LLC
Practice address
730 Som Center Rd
Suite 110
Cleveland, OH 44143-2350
Phone
(440) 446-9800
Fax
(440) 460-9810
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Richard J Brom
Title
Part Owner
Phone
(216) 731-3618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X Primary

Addresses

Primary practice location

730 Som Center Rd
Suite 110
Cleveland, OH 44143-2350

Mailing address

730 Som Center Rd
Suite 110
Cleveland, OH 44143-2350
Phone (440) 446-9800

National Provider Directory

National Provider Directory

Locations

730 Som Center Rd
Ste 110
Mayfield Village, OH 44143
Phone (440) 446-9800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346330529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SOM CENTER RD",
            "address_2": "SUITE 110",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441432350",
            "telephone_number": "440-446-9800",
            "fax_number": "440-460-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SOM CENTER RD",
            "address_2": "SUITE 110",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441432350",
            "telephone_number": "440-446-9800",
            "fax_number": "440-460-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPPS GEORGIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "216-731-3618",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.