| NPI | 1003855909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ED YOUNG Owner/CEO 937-748-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center Radiology, Mobile (Licence: OH 06-E-04159-01) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2011-11-28 |