National Pet Centers LLC

Primary specialty

Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X

Legal business name

NATIONAL PET CENTERS LLC

Doing business as

Great Lakes Medical Imaging

Practice address

19250 Bagley Road, Suite 203
National Pet Centers LLC Dba Great Lakes Medical Imagin
Middleburg Heights, OH 44130

Phone

(440) 234-3321

Fax

(440) 234-3323

NPI assigned

Jul 4, 2006

Last updated

Jan 13, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David L Gilliland

Title

Owner

Phone

(336) 274-2844

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Great Lakes Medical Imaging Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence McNamee, M.D.

  • Diagnostic Radiology Physician
  • Fairview Park, OH
  • NPI 1326094228
  NPD (past)
• John Frank Balzano, MD

  • Diagnostic Radiology Physician
  • Wheeling, WV
  • NPI 1679504484
  NPD (past)
• Richard R Black, DO

  • Nuclear Medicine Physician
  • Murrieta, CA
  • NPI 1093798720
  NPD (past)
• Frank E Seidelmann, DO

  • Diagnostic Radiology Physician
  • Kiawah Island, SC
  • NPI 1366448219
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1235169301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5313 DONA ROAD",
            "city": "JULIAN",
            "state": "NC",
            "postal_code": "27283",
            "telephone_number": "336-274-2844",
            "fax_number": "336-274-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19250 BAGLEY ROAD, SUITE 203",
            "address_2": "NATIONAL PET CENTERS LLC DBA GREAT LAKES MEDICAL IMAGIN",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-234-3321",
            "fax_number": "440-234-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL PET CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "GILLILAND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-274-2844",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471N0900X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING PROVIDER NUMBER",
            "identifier": "1275583791",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2326478",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "192322",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING PROVIDER NUMBERS",
            "identifier": "1093798720",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "192232",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Marie Najjar, REGISTERED NURSE
• Gerald E Nanne, D.C.
• Samantha Narducci
• Carrion Nash
• Michael Nassif, LISW
• National Vision Inc (America's Best)
• Emma Neal
• Hannah Neal
• Karlie Netzel
• New Heights ABA, LLC (New Heights ABA)

• Radiologic Technologist in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Radiologic Technologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.