Provider Demographics
NPI:1821390444
Name:CASE WESTERN RESERVE UNIVERSITY
Entity Type:Organization
Organization Name:CASE WESTERN RESERVE UNIVERSITY
Other - Org Name:NATIONAL PRION DISEASE PATHOLOGY SURVEILLANCE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PIERLUIGI
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMBETTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-368-0587
Mailing Address - Street 1:10900 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1712
Mailing Address - Country:US
Mailing Address - Phone:216-368-0587
Mailing Address - Fax:216-368-4090
Practice Address - Street 1:2085 ADELBERT RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-4907
Practice Address - Country:US
Practice Address - Phone:216-368-0587
Practice Address - Fax:216-368-4090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36D0981930207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory MedicineGroup - Single Specialty