Organization
YOUNGSTOWN REGIONAL PET SCAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAGE YARBROUGH (CLIENT REPRESENTATIVE)
(330) 493-9004
Entity
Organization
Contact information
Practice address
850 MCKAY CT, YOUNGSTOWN, OH 44512-5745
(330) 758-9411
Mailing address
P.O. BOX 76757, CLEVELAND, OH 44101-6500
(800) 624-8910
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2424200
—
OH
Enumeration date
05/26/2006
Last updated
07/16/2009
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