Provider Demographics
NPI:1841393162
Name:REFLECTIONS BREAST HEALTH CENTER
Entity Type:Organization
Organization Name:REFLECTIONS BREAST HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-867-7274
Mailing Address - Street 1:PO BOX 73990
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44193-1494
Mailing Address - Country:US
Mailing Address - Phone:330-864-1571
Mailing Address - Fax:
Practice Address - Street 1:33 NORTH AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:TALLMADGE
Practice Address - State:OH
Practice Address - Zip Code:44278-1925
Practice Address - Country:US
Practice Address - Phone:330-630-9381
Practice Address - Fax:330-630-9998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000382833OtherANTHEM BC/BS
OH9920671Medicare ID - Type Unspecified