Provider Demographics
NPI:1235556473
Name:INTERPRETIVE REPORTS LLC
Entity Type:Organization
Organization Name:INTERPRETIVE REPORTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:D
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-879-0078
Mailing Address - Street 1:13370 PROSPECT RD
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149-3854
Mailing Address - Country:US
Mailing Address - Phone:440-879-0078
Mailing Address - Fax:440-879-0084
Practice Address - Street 1:13370 PROSPECT RD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44149-3854
Practice Address - Country:US
Practice Address - Phone:440-879-0078
Practice Address - Fax:440-879-0084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-26
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty