Great Lakes Medical Imaging

LBN: National Pet Centers Llc
Great Lakes Medical Imaging is an health care organization with primary practice located at 19250 Bagley Road, Suite 203 National Pet Centers Llc Dba Great Lakes Medical Imagin, Middleburg Heights OH 44130. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology, which is considered as the primary health care specialty. National Pet Centers Llc can be contacted via phone (440) 234-3321, or through Gilliland, David L via phone (336) 274-2844.

Contact Information

Primary practice address
19250 Bagley Road, Suite 203 National Pet Centers Llc Dba Great Lakes Medical Imagin Middleburg Heights OH 44130
Phone: (440) 234-3321
Fax: (440) 234-3323
Website:
Map and Directions
Authorized official contact:
Name: Gilliland, David L
Phone: (336) 274-2844

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology 2471N0900X

Profile Details

NPI number 1235169301
LBN Legal business name National Pet Centers Llc
DBA Doing business as Great Lakes Medical Imaging
Authorized official Gilliland, David L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Jan 13th, 2011 - about 14 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 1235169301 NPPES
Other 1093798720 RENDERING PROVIDER NUMBERS
MEDICAID 2326478 RENDERING PROVIDER NUMBERS
Other 1275583791 RENDERING PROVIDER NUMBERS
Other 192232 RENDERING PROVIDER NUMBERS
Other 192322 RENDERING PROVIDER NUMBERS

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