Source Diagnostics Llc

LBN: Source Diagnostics Llc
Source Diagnostics Llc is an health care organization with primary practice located at 5275 Naiman Pkwy Ste E, Solon OH 44139-1029. The organization recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Cardiology, Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist. Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist is the primary health care specialty. Source Diagnostics Llc can be contacted via phone (440) 542-1515, or through Marchand, Keith C via phone (440) 645-4626.

Contact Information

Primary practice address
5275 Naiman Pkwy Ste E Solon OH 44139-1029
Phone: (440) 542-1515
Fax: (440) 542-9482
Website:
Map and Directions
Authorized official contact:
Name: Marchand, Keith C
Phone: (440) 645-4626

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Cardiology 246W00000X
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X OH03645 Ohio

Profile Details

NPI number 1386698470
LBN Legal business name Source Diagnostics Llc
DBA Doing business as
Authorized official Marchand, Keith C
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2006
Last updated Mar 8th, 2012 - about 12 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 1386698470 NPPES
Ohio MEDICAID 2538052

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