# YOUNGSTOWN REGIONAL PET SCAN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144276429
- **Authorized official:** SAGE YARBROUGH (CLIENT REPRESENTATIVE)
- **Authorized official phone:** (330) 493-9004

## Contact information

- **Practice address:** 850 MCKAY CT, YOUNGSTOWN, OH 44512-5745
- **Practice address phone:** (330) 758-9411
- **Mailing address:** P.O. BOX 76757, CLEVELAND, OH 44101-6500
- **Mailing address phone:** (800) 624-8910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085N0904X | Nuclear Radiology Physician | — | NULL | Yes |
| 2085N0904X | Nuclear Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 07/16/2009