Organization
GREATER JACKSONVILLE LITHOTRIPSY SERVICES LLC
Active
Other names
LSGJ
Organization subpart
No
Provider details
NPI number
Authorized official
DAN BEDELL (DIR OF OPERATIONS)
(615) 370-3366
Entity
Organization
Contact information
Practice address
7003 CHADWICK DR, STE 321, BRENTWOOD, TN 37027-5232
(615) 370-3366
(615) 371-1887
Mailing address
7003 CHADWICK DR, STE 321, BRENTWOOD, TN 37027-5232
(615) 370-3366
(615) 371-1887
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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