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Organization
SOURCE DIAGNOSTICS, LLC
Active
Organization
SOURCE DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN A BARRY (COO)
(440) 645-7822
Entity
Organization
Contact information
Practice address
7581 SECOR RD, LAMBERTVILLE, MI 48144-9624
(440) 645-7822
Mailing address
5275 NAIMAN PKWY, STE E, SOLON, OH 44139-1029
(440) 645-7822
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
Other
Enumeration date
06/03/2012
Last updated
06/03/2012
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