Provider Demographics
NPI:1003291196
Name:GLOBAL ISOTOPES, LLC
Entity Type:Organization
Organization Name:GLOBAL ISOTOPES, LLC
Other - Org Name:ZEVACOR MOLECULAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT & COO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-578-1251
Mailing Address - Street 1:14395 BERGEN BLVD
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-3305
Mailing Address - Country:US
Mailing Address - Phone:317-578-1251
Mailing Address - Fax:
Practice Address - Street 1:14395 BERGEN BLVD
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-3305
Practice Address - Country:US
Practice Address - Phone:317-578-1251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN60006489A3336N0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336N0007XSuppliersPharmacyNuclear Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2151794OtherPK