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LAKELAND NUCLEAR IMAGING INC. NPI 1619933546


NPI Information

NPI: 1619933546
Provider Name: LAKELAND NUCLEAR IMAGING, INC.
Classification: Nuclear Medicine - 207UN0902X
Entity Type: Organization

Specialization: Nuclear Imaging & Therapy

Address:
122 GRANT ST
NILES, MI
ZIP 49120
Phone: (269) 684-0295
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LAKELAND NUCLEAR IMAGING, INC. is a nuclear imaging and therapy nuclear medicine in Niles, MI. The provider is a nuclear medicine physician who specializes in nuclear imaging and therapy. LAKELAND NUCLEAR IMAGING, INC. NPI is 1619933546. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

122 GRANT ST
NILES, MI
ZIP 49120-281
Phone: (269) 684-0295
Fax: (269) 684-0189

The provider's authorized official is Dennis Mack .
The authorized official title is Vice President Of Facility & Suppor and has the following contact phone number (269) 684-0259.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 8/20/2007.


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
1207UN0902XNuclear MedicineNuclear Imaging & TherapyMICHIGANYes

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: 5/5/2024

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