| Organization Name: | NATIONAL PET CENTERS LLC |
| NPI Number: | 1235169301 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID L GILLILAND (OWNER) |
| Mailing Address: | 19250 Bagley Road, Suite 203 National Pet Centers Llc Dba Great Lakes Medical Imagin Middleburg Heights |
| State: | OH US |
| Postal Code: | 44130 |
| Phone Number: | 4402343321 |
| Fax Number: | 4402343323 |
| NPI Enumeration Date: | 07/04/2006 |
| NPI Last Update Date: | 01/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471N0900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Nuclear Medicine Technology |
| Taxonomy Definition: | |