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UNIVERSITY SUBURBAN GYNECOLOGY 2LLC
NPI 1184804007
Clinic/Center in South Euclid, OH

Active since November 08, 2007CLIA 36D2052238 · Waiver
1611 S GREEN RD, SUITE 204, SOUTH EUCLID, OH 44121(404) 943-0205 Get Directions Write a Review

NPPES record last updated: November 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About University Suburban Gynecology 2llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY SUBURBAN GYNECOLOGY 2LLC (NPI 1184804007) is a healthcare organization registered as a clinic/center in South Euclid, Ohio and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through January 7, 2027 and lists Alicia Holden, Lead, as its authorized official.

NPPES Registry Identity

NPI1184804007
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameUNIVERSITY SUBURBAN GYNECOLOGY 2LLC
Location Address1611 S GREEN RD, SUITE 204South Euclid, OH 44121-4128
Mailing AddressPo Box 468329Atlanta, GA 31146-8329
Phone(404) 943-0205
Organization SubpartNo
Authorized OfficialAlicia HoldenLead · (404) 943-0205
Enumeration DateNovember 8, 2007
✔ NPI 1184804007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1611 S GREEN RD, South Euclid, OH 44121
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2052238

University Suburban Endoscopy Center · South Euclid, OH
Active · expires Jan 7, 2027
CLIA Number36D2052238
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 8, 2025
Certificate Expiration DateJanuary 7, 2027
Laboratory DirectorMichael K. Koehler
Laboratory Phone(216) 691-0100
Laboratory LocationUniversity Suburban Endoscopy Center1611 S Green Rd Suite 120, South Euclid, OH 44121
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OPHTHALMIC CONSULTANTS AND SURGEONS OF CLEVELAND, INC.
Ophthalmology
1611 S GREEN RD, SUITE 306A
SOUTH EUCLID, OH 44121
Cuyahoga County (216) 291-9770
DR. THOMAS JOSEPH KING M.D.
Internal Medicine
1611 S GREEN RD, SUITE 260
SOUTH EUCLID, OH 44121
Cuyahoga County (216) 382-5214
MRS. MARY ANN MURPHY COLEGROVE R.D, L.D.
Dietitian, Registered
1611 S GREEN RD, SUITE 202
SOUTH EUCLID, OH 44121
Cuyahoga County (216) 381-4541
DIVYA SREE MADHURAMTHAKAM MD
Internal Medicine
1611 S GREEN RD
SOUTH EUCLID, OH 44121
Cuyahoga County (216) 237-5011
MEGAN E IWANSKI ATC, LMT
Specialist/Technologist (Athletic Trainer)
1611 S GREEN RD, #36
CLEVELAND, OH 44121
Cuyahoga County (216) 291-0108
SARAH J ROYAN MS, ATC, CSCS
Specialist/Technologist (Athletic Trainer)
1611 S GREEN RD, SUITE #036
SOUTH EUCLID, OH 44121
Cuyahoga County (216) 291-2277
DR. KELLY LYN WESTBROOKS JOYCE M.D.
Pediatrics
1611 S GREEN RD, SUITE 035
SOUTH EUCLID, OH 44121
Cuyahoga County (216) 382-3800
R P MCAULIFFE
Eyewear Supplier
1611 S GREEN RD, RM 102
SOUTH EUCLID, OH 44121
Cuyahoga County (216) 291-1275

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Suburban Gynecology 2llc's NPI number?

The NPI number for University Suburban Gynecology 2llc is 1184804007. It was assigned to this organization in the NPPES registry on November 8, 2007.

Where is University Suburban Gynecology 2llc located?

University Suburban Gynecology 2llc is located at 1611 S Green Rd Suite 204, South Euclid, OH 44121. The listed phone number is (404) 943-0205.

What is University Suburban Gynecology 2llc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does University Suburban Gynecology 2llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2052238) is associated with this NPI, valid through January 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for University Suburban Gynecology 2llc was last updated on November 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.