# NUCLEAR CARDIAC IMAGING, LLC

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

## Provider details

- **NPI number:** 1154653087
- **Authorized official:** MR. DALE J SHARRARD RTN (CEO/OWNER)
- **Authorized official phone:** (989) 326-0929

## Contact information

- **Practice address:** 3491 S HURON RD, SUITE 2, BAY CITY, MI 48706-1547
- **Practice address phone:** (989) 667-6980
- **Practice address fax:** (989) 488-4444
- **Mailing address:** PO BOX 398, KAWKAWLIN, MI 48631-0398
- **Mailing address phone:** (989) 667-6780
- **Mailing address fax:** (989) 488-4444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207U00000X | Nuclear Medicine Physician | DS112843 | MI | — |
| 207UN0901X | Nuclear Cardiology Physician | — | NULL | — |
| 207UN0901X | Nuclear Cardiology Physician | — | — | — |
| 2085N0904X | Nuclear Radiology Physician | — | NULL | — |
| 2085N0904X | Nuclear Radiology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2471N0900X | Nuclear Medicine Technology Radiologic Technologist | — | NULL | — |
| 2471N0900X | Nuclear Medicine Technology Radiologic Technologist | — | — | — |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/03/2010
- **Last updated:** 07/08/2013