Provider Demographics
NPI:1932153095
Name:NUCLEAR PHYSICIANS LIMITED
Entity Type:Organization
Organization Name:NUCLEAR PHYSICIANS LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLIENT REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:SAGE
Authorized Official - Middle Name:
Authorized Official - Last Name:YARBROUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-493-9004
Mailing Address - Street 1:PO BOX 26070
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44319-6070
Mailing Address - Country:US
Mailing Address - Phone:888-719-9034
Mailing Address - Fax:
Practice Address - Street 1:4161 BRIDGEWATER PKWY
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-6191
Practice Address - Country:US
Practice Address - Phone:330-920-3770
Practice Address - Fax:330-920-9770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHNU9279261Medicare ID - Type Unspecified