| NPI | 1003151671 |
|---|---|
| Doing Business As | OUTPATIENT DIAGNOSTIC CENTER OF MADISON |
| Entity Type | Organization |
| Authorized Contact | WILLIAM CANNON KING CEO 615-846-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2023-11-29 |