SHARED PET IMAGING LLC NPI 1457354318

NPI Information

  • NPI: 1457354318
  • Provider Name: SHARED PET IMAGING LLC
  • Classification: Clinic/Center - 261QR0208X
  • Specialization: Radiology, Mobile
  • Entity Type: Organization
  • Address: 1341 CLARK ST
    CAMBRIDGE, OH
    ZIP 43725
  • Phone: (330) 491-0480

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NPI Details

SHARED PET IMAGING LLC is a radiology and mobile clinic center in Cambridge, OH. SHARED PET IMAGING LLC NPI is 1457354318. The provider is registered as an organization entity type.

The provider's business location address is:

1341 CLARK ST
CAMBRIDGE, OH
ZIP 43725
Phone: (330) 491-0480
Fax: (330) 491-0488

The provider's authorized official is Laura Kassa .
The authorized official title is Sr Vice President and has the following contact phone number (904) 300-2777.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)

The enumeration date for this NPI number is 5/24/2005 and was last updated on 7/24/2023.

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
1261QR0208XClinic/CenterRadiology, MobileYes

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
12364392MEDICAIDOHIO
22651090MEDICAIDOHIO
32410251MEDICAIDOHIO
4200398920MEDICAIDINDIANA

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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