Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lebanon PET Scan Center, LLC

Organization Diagnostic Radiology Physician · NPI 1114551132

Lebanon PET Scan Center, LLC provides Diagnostic Radiology Physician services in Lebanon, Tennessee. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

103 Physicians Way Ste 100
Lebanon, TN 37090-4129
Phone: (615) 329-0570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1114551132
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pattie Douglas — Payer Relations Manager · (615) 514-6876
NPI enumeratedFebruary 28, 2020
Last updated in NPPESFebruary 28, 2020
Certification dateFebruary 28, 2020
Mailing addressP.O. Box 440149, Nashville, TN 37244

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