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

Lakeland Nuclear Imaging, Inc

Organization Nuclear Imaging & Therapy Physician · NPI 1619933546

Lakeland Nuclear Imaging, Inc is a Nuclear Imaging & Therapy Physician in Niles, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

122 Grant St
Niles, MI 49120-2281
Phone: (269) 684-0295
Fax: (269) 684-0189
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nuclear Imaging & Therapy Physician (primary) Taxonomy 207UN0902X (MI)

Record details

NPI number1619933546
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dennis Mack — Vice President Of Facility & Suppor · (269) 684-0259
NPI enumeratedApril 20, 2006
Last updated in NPPESAugust 20, 2007
Mailing address6720 Red Arrow Hwy, Coloma, MI 49038-9703