Organization
NUCLEAR CARDIAC IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE J SHARRARD RTN (CEO/OWNER)
(989) 326-0929
Entity
Organization
Contact information
Practice address
3491 S HURON RD, SUITE 2, BAY CITY, MI 48706-1547
(989) 667-6980
(989) 488-4444
Mailing address
PO BOX 398, KAWKAWLIN, MI 48631-0398
(989) 667-6780
(989) 488-4444
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
DS112843
MI
207UN0901X
Nuclear Cardiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
—
—
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700Z90137
BCBS OF MI
MI
Enumeration date
02/03/2010
Last updated
07/08/2013
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