# SUBURBAN DIAGNOSTIC CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sylvania Ultrasound Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104166966
- **Authorized official:** ALLIE GALOVICH CPC (BILLER)
- **Authorized official phone:** (248) 593-9780

## Contact information

- **Practice address:** 3830 WOODLEY RD, SUITE A, TOLEDO, OH 43606-1177
- **Practice address phone:** (419) 841-7766
- **Mailing address:** 3830 WOODLEY RD, SUITE A, TOLEDO, OH 43606-1177
- **Mailing address phone:** (419) 841-7766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |
| 261QR0206X | Mammography Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/15/2013
- **Last updated:** 02/15/2013