Organization
AKRON 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
3009 SMITH RD, SUITE 350, FAIRLAWN, OH 44333-2666
(330) 670-9166
Mailing address
PO BOX 30516, LOCK BOX #105, LANSING, MI 48909
(888) 328-4534
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2389482
—
OH
Enumeration date
05/26/2006
Last updated
07/16/2009
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