Organization
LEBANON PET SCAN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTIE DOUGLAS (PAYER RELATIONS MANAGER)
(615) 514-6876
Entity
Organization
Contact information
Practice address
103 PHYSICIANS WAY STE 100, LEBANON, TN 37090-4129
(615) 329-0570
Mailing address
P.O. BOX 440149, NASHVILLE, TN 37244
(615) 329-0570
(615) 329-0579
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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