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Organization
GREATER JACKSONVILLE LITHOTRIPSY SERVICES LLC
Active
Organization
GREATER JACKSONVILLE LITHOTRIPSY SERVICES LLC
Active
Other names
LSGJ
Organization subpart
No
Provider details
NPI number
Authorized official
DAN BEDELL (DIR OF OPERATIONS)
(615) 370-3366
Entity
Organization
Contact information
Practice address
7003 CHADWICK DR, STE 321, BRENTWOOD, TN 37027-5232
(615) 370-3366
(615) 371-1887
Mailing address
7003 CHADWICK DR, STE 321, BRENTWOOD, TN 37027-5232
(615) 370-3366
(615) 371-1887
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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