NATIONAL PET CENTERS LLC NPI 1235169301

NPI Information

  • NPI: 1235169301
  • Provider Name: NATIONAL PET CENTERS LLC
  • Classification: Radiologic Technologist - 2471N0900X
  • Specialization: Nuclear Medicine Technology
  • Entity Type: Organization
  • Doing Business As: GREAT LAKES MEDICAL IMAGING
  • Address: 19250 BAGLEY ROAD, SUITE 203
    NATIONAL PET CENTERS LLC DBA GREAT LAKES MEDICAL IMAGIN
    MIDDLEBURG HEIGHTS, OH
    ZIP 44130
  • Phone: (440) 234-3321

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NPI Details

NATIONAL PET CENTERS LLC is a nuclear medicine technology radiologic technologist in Middleburg Heights, OH. The provider is 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. NATIONAL PET CENTERS LLC NPI is 1235169301. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Great Lakes Medical Imaging.

The provider's business location address is:

19250 BAGLEY ROAD, SUITE 203
NATIONAL PET CENTERS LLC DBA GREAT LAKES MEDICAL IMAGIN
MIDDLEBURG HEIGHTS, OH
ZIP 44130
Phone: (440) 234-3321
Fax: (440) 234-3323

The provider's authorized official is David L Gilliland .
The authorized official title is Owner and has the following contact phone number (336) 274-2844.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 1/13/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12471N0900XRadiologic TechnologistNuclear Medicine TechnologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19313551MEDICARE PINOHIO
21275583791OTHERRENDERING PROVIDER NUMBER
3NMB2141MEDICARE PINNEW MEXICO
4192322OTHERANTHEM BC/BS
51093798720OTHERRENDERING PROVIDER NUMBERS
6192232OTHERANTHEM BLUE SHIELD
72326478MEDICAIDOHIO
8100673MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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