Provider Demographics
NPI:1447577440
Name:NATIONAL PET CENTERS LLC
Entity type:Organization
Organization Name:NATIONAL PET CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:SIPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-274-2844
Mailing Address - Street 1:700 N EUGENE ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1622
Mailing Address - Country:US
Mailing Address - Phone:336-274-2844
Mailing Address - Fax:
Practice Address - Street 1:4349 S TREADAWAY BLVD
Practice Address - Street 2:STE B
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-7803
Practice Address - Country:US
Practice Address - Phone:325-695-4624
Practice Address - Fax:325-695-4625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology