SOURCE DIAGNOSTICS LLC NPI 1871854265

NPI Information

  • NPI: 1871854265
  • Provider Name: SOURCE DIAGNOSTICS, LLC
  • Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
  • Entity Type: Organization
  • Address: 7581 SECOR RD
    LAMBERTVILLE, MI
    ZIP 48144
  • Phone: (440) 645-7822

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NPI Details

SOURCE DIAGNOSTICS, LLC is a portable x ray and or other portable diagnostic imaging supplier in Lambertville, MI. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. SOURCE DIAGNOSTICS, LLC NPI is 1871854265. The provider is registered as an organization entity type.

The provider's business location address is:

7581 SECOR RD
LAMBERTVILLE, MI
ZIP 48144-624
Phone: (440) 645-7822

The provider's authorized official is Kathleen A Barry .
The authorized official title is Coo and has the following contact phone number (440) 645-7822.

The enumeration date for this NPI number is 6/3/2012 and was last updated on 6/3/2012.

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
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierYes

What is NPI?

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This page was last updated on: 3/30/2025

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