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SOUTHWOOD PET SCAN LLC NPI 1467491845


NPI Information

NPI: 1467491845
Provider Name: SOUTHWOOD PET SCAN, LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
250 DEBARTOLO PL
BUILDING B
YOUNGSTOWN, OH
ZIP 44512
Phone: (330) 729-0357
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SOUTHWOOD PET SCAN, LLC is a diagnostic radiology radiology in Youngstown, OH. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SOUTHWOOD PET SCAN, LLC NPI is 1467491845. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

250 DEBARTOLO PL
BUILDING B
YOUNGSTOWN, OH
ZIP 44512-004
Phone: (330) 729-0357
Fax: (330) 729-0358

The provider's authorized official is Mary Jo Morris .
The authorized official title is Enrollment Specialist and has the following contact phone number (412) 937-5726.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology=========PENNSYLVANIAYes

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: 11/14/2023

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