Source Diagnostics, LLC
NPI #1871854265 in Lambertville, Michigan
Provider Information
- NPI Number
- 1871854265
- Entity Type
- Organization
- Organization Name
- Source Diagnostics, LLC
- Primary Specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Enumeration Date
- Jun 3, 2012
- Last Updated
- Jun 3, 2012
Practice Location
- Address
- 7581 SECOR RD
- City
- Lambertville
- State
- Michigan
- ZIP Code
- 48144-9624
- Phone
- (440) 645-7822
Authorized Official
- Name
- KATHLEEN A BARRY
- Title
- COO
- Phone
- (440) 645-7822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
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