Source Diagnostics LLC

Radiologic Technologist · Solon, OH

Organization Active NPI

NPI number 1386698470

Practice location

5275 Naiman Pkwy
Ste E
Solon, OH 44139-1029
Phone
(440) 542-1515
Fax
(440) 542-9482

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NPI record

NPI
1386698470
Entity type
Organization (Type 2)
Enumeration date
May 22, 2006
Last updated
March 8, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Radiologic Technologist Primary 247100000X OH03645 OH
Cardiology Technician 246W00000X — —

Authorized official

Name
Mr. Keith C Marchand
Title
President
Phone
(440) 645-4626

About Source Diagnostics LLC

Source Diagnostics LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Radiologic Technologist (code 247100000X). The practice location is 5275 Naiman Pkwy, Ste E, Solon, OH 44139-1029. The NPI number 1386698470 was assigned on May 22, 2006 and the record was last updated on March 8, 2012.

Source Diagnostics LLC lists a license in the registry: #OH03645 (OH) for Radiologic Technologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mr. Keith C Marchand, President.

Frequently asked questions

What is the NPI number of Source Diagnostics LLC?

The NPI number is 1386698470.

What is the phone number of Source Diagnostics LLC?

The phone number listed for the practice location is (440) 542-1515.

Where is Source Diagnostics LLC located?

5275 Naiman Pkwy, Ste E, Solon, OH 44139-1029.

What is the taxonomy code for Source Diagnostics LLC?

The primary taxonomy code is 247100000X – Radiologic Technologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.