Provider Demographics
NPI:1659068930
Name:SOUTHWEST UROLOGY, LLC
Entity type:Organization
Organization Name:SOUTHWEST UROLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP, CHIEF PEOPLE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RHYMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-467-7415
Mailing Address - Street 1:104 WOODMONT BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2245
Mailing Address - Country:US
Mailing Address - Phone:888-802-9885
Mailing Address - Fax:615-783-1082
Practice Address - Street 1:18099 LORAIN AVE STE 141
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-4411
Practice Address - Country:US
Practice Address - Phone:216-941-0333
Practice Address - Fax:216-941-5257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site