Organization · Type 2 NPI

Great Lakes Ambulatory Surgery Center

Ambulatory Surgical Clinic/Center · Mentor, OH

NPI number 1023498219 Active

Practice location

9002 Mentor Ave Ste B
Mentor, OH 44060-6302

Fax (440) 283-0247

Mailing address

9002 Mentor Ave
Mentor, OH 44060-6302

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903X35-075570 (OH)

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1023498219

Great Lakes Ambulatory Surgery Center's National Provider Identifier is 1023498219, issued on Jun 3, 2015. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Mentor, OH. The record was last updated on Jan 13, 2026.