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Contact Information

NATIONAL PET CENTERS LLC
19250 BAGLEY ROAD, SUITE 203
NATIONAL PET CENTERS LLC DBA GREAT LAKES MEDICAL IMAGIN
MIDDLEBURG HEIGHTS, OH44130
 Phone: 440-234-3321
 Fax: 440-234-3323
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Medicine Technology Radiologic Technologist

2471N0900X
Indicates primary specialty

NPI Profile & details for NATIONAL PET CENTERS LLC · (Female)

NPI Number 1235169301
Status Active
Credentials
Entity Individual
Enumeration date 07/04/2006
Last updated 01/13/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH Medicaid 2326478
  • Other 192322 ANTHEM BC/BS
  • Other 192232 ANTHEM BLUE SHIELD
  • Other 1275583791 RENDERING PROVIDER NUMBER
  • Other 1093798720 RENDERING PROVIDER NUMBERS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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