LEBANON PET SCAN CENTER, LLC
NPI 1114551132
Radiology - Diagnostic Radiology in Lebanon, TN

Q: What is Lebanon Pet Scan Center, LLC's NPI number?

The NPI number for Lebanon Pet Scan Center, LLC is 1114551132. It was assigned to this organization in the NPPES registry on February 28, 2020.

Q: What is Lebanon Pet Scan Center, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since February 28, 2020

103 PHYSICIANS WAY STE 100, LEBANON, TN 37090(615) 329-0570 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lebanon Pet Scan Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEBANON PET SCAN CENTER, LLC (NPI 1114551132) is a healthcare organization registered as a diagnostic radiology in Lebanon, Tennessee and active in the NPI registry since February 2020. The organization lists Pattie Douglas, Payer Relations Manager, as its authorized official.

NPPES Registry Identity

NPI1114551132

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameLEBANON PET SCAN CENTER, LLC

Location Address103 PHYSICIANS WAY STE 100Lebanon, TN 37090-4129

Mailing AddressP.o. Box 440149Nashville, TN 37244 · (615) 329-0570 · Fax (615) 329-0579

Phone(615) 329-0570

Organization SubpartNo

Authorized OfficialPattie DouglasPayer Relations Manager · (615) 514-6876

Enumeration DateFebruary 28, 2020

✔ NPI 1114551132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

103 PHYSICIANS WAY STE 100, Lebanon, TN 37090

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2189228

Lebanon Pet Scan Center · Lebanon, TN

Expired · Jul 27, 2026

CLIA Number44D2189228

Laboratory TypeOutpatient Diagnostic Ctr

Certificate Effective DateJuly 28, 2024

Certificate Expiration DateJuly 27, 2026

Laboratory DirectorMatthew Hudson

Laboratory Phone(615) 443-7436

Laboratory LocationLebanon Pet Scan Center103 Physicians Way Ste 100, Lebanon, TN 37090

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

17,200 services137 patients

Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries A9552

Fluorodeoxyglucose F-18 FDG is a radioactive drug used in PET scans. It helps doctors see how your tissues and organs are functioning. The drug is given in a specific dose, up to 45 millicuries, depending on your body size and the type of scan.

181 services159 patients

Nuclear medicine study from skull base to mid-thigh with ct scan 78815

A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.

167 services151 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

160 services127 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

130 services104 patients

Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie A9596

Gallium Ga-68 Gozetotide (Illuccix) is a diagnostic procedure using a radioactive tracer. It helps visualize certain types of tumors in your body by injecting a small amount of radioactive material. This is safe and aids doctors in accurate diagnosis and treatment planning.

88 services17 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

76 services53 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

52 services38 patients

Ct scan of soft tissue of neck with contrast 70491

A CT scan of the neck with contrast is a non-invasive imaging procedure. A special dye is administered to highlight the soft tissues in your neck, making them easier to see. This helps detect issues like infections, tumors, or other abnormalities.

33 services25 patients

Low dose ct scan of chest for lung cancer screening 71271

A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.

27 services27 patients

Nuclear medicine study whole body with ct scan 78816

A Nuclear Medicine Study with a CT Scan is a diagnostic procedure. It uses a small amount of radioactive substance and a CT scan to create detailed images of your body. These images help doctors diagnose, monitor, and treat various conditions.

21 services18 patients

Nuclear medicine study from skull base to mid-thigh 78812

A nuclear medicine study from skull base to mid-thigh involves a special camera and a small amount of radioactive tracer to create images of your body. It helps detect diseases early by showing the body's function and structure. It's safe and painless.

11 services11 patients

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lebanon Pet Scan Center, LLC's NPI number?

The NPI number for Lebanon Pet Scan Center, LLC is 1114551132. It was assigned to this organization in the NPPES registry on February 28, 2020.

Where is Lebanon Pet Scan Center, LLC located?

Lebanon Pet Scan Center, LLC is located at 103 Physicians Way Ste 100, Lebanon, TN 37090. The listed phone number is (615) 329-0570.

What is Lebanon Pet Scan Center, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

What insurance does Lebanon Pet Scan Center, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Lebanon Pet Scan Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lebanon Pet Scan Center, LLC was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.