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 is a Diagnostic Radiology Physician 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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