Lakeland Nuclear Imaging, Inc.

Primary specialty

Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X

Legal business name

LAKELAND NUCLEAR IMAGING, INC.

Practice address

122 Grant St
Niles, MI 49120-2281

Phone

(269) 684-0295

Fax

(269) 684-0189

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Mack

Title

Vice President of Facility & Suppor

Phone

(269) 684-0259

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1619933546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 RED ARROW HWY",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490389703",
            "telephone_number": "269-684-0295",
            "fax_number": "269-684-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 GRANT ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202281",
            "telephone_number": "269-684-0295",
            "fax_number": "269-684-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND NUCLEAR IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FACILITY & SUPPOR",
        "authorized_official_telephone_number": "269-684-0259",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeland Medical Practices
• Lakeland Medical Practices
• Lakeland Medical Practices
• Lakeland Medical Practices
• Lakeland Medical Practices
• Lakeland Professional Services, Inc
• Addison Lalime
• Darrel Lall, TLLP
• Sari Lammivaara, LMSW
• Melodi Lane

• Nuclear Medicine Physician in Niles, MI
• Providers in Niles, MI by specialty
• Nuclear Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.