Lakeshore P.E.T Imaging, Llc.

LBN: Lakeshore P.E.T Imaging, Llc.
Lakeshore P.E.T Imaging, Llc. is an health care organization with primary practice located at 4932 W 95Th St , Oak Lawn IL 60453-2504. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Lakeshore P.E.T Imaging, Llc. can be contacted via phone (708) 499-9700, or through Aung, Neelam S via phone (708) 499-9700.

Contact Information

Primary practice address
4932 W 95Th St Oak Lawn IL 60453-2504
Fax: (708) 499-9797
Website:
Authorized official contact:
Name: Aung, Neelam S

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1790870699
LBN Legal business name Lakeshore P.E.T Imaging, Llc.
DBA Doing business as
Authorized official Aung, Neelam S
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790870699 NPPES
Illinois Other 01633190 BCBS

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