National Provider Identifier Database

NATIONAL PET CENTERS LLC
Nuclear Medicine Technology Radiologic Technologist

A radiologic technologist who specializes in nuclear medicine technology and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of nuclear medicine imaging, administration of radiopharmaceuticals to patients, exam techniques, equipment protocols, radiation safety, and patient care.


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
* Nuclear Medicine Technology Radiologic Technologist 2471N0900X

* Indicates primary specialty

NPI Profile & details for NATIONAL PET CENTERS LLC

NPI Number 1235169301
Legal business name
LBN
NATIONAL PET CENTERS LLC
Authorized official DAVID GILLILAND - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/04/2006
Last updated 01/13/2011 - About 15 years ago
Sole proprietor1 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

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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