Provider First Line Business Practice Location Address:
19250 BAGLEY ROAD, SUITE 203
Provider Second Line Business Practice Location Address:
NATIONAL PET CENTERS LLC DBA GREAT LAKES MEDICAL IMAGIN
Provider Business Practice Location Address City Name:
MIDDLEBURG HEIGHTS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
440-234-3321
Provider Business Practice Location Address Fax Number:
440-234-3323
Provider Enumeration Date:
07/04/2006