Organization · Type 2 NPI

Lakeshore P.e.t Imaging, Llc.

Medical Specialty Clinic/Center · Oak Lawn, IL

NPI number 1790870699 Active

Practice location

4932 W 95th St
Oak Lawn, IL 60453-2504

Fax (708) 499-9797

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1790870699

Lakeshore P.e.t Imaging, Llc.'s National Provider Identifier is 1790870699, issued on Oct 4, 2006. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Oak Lawn, IL. The record was last updated on Aug 22, 2020.