Provider Demographics
NPI:1699384412
Name:CLEVELAND DIAGNOSTICS, INC.
Entity Type:Organization
Organization Name:CLEVELAND DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BILLING & REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:E
Authorized Official - Last Name:LEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-896-4103
Mailing Address - Street 1:3615 SUPERIOR AVE E STE 4407B
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-4139
Mailing Address - Country:US
Mailing Address - Phone:216-432-2700
Mailing Address - Fax:216-361-0038
Practice Address - Street 1:3615 SUPERIOR AVE E STE 4407B
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-4139
Practice Address - Country:US
Practice Address - Phone:216-432-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory