| NPI | 1013269653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH B FISER VP Revenue Cycle/Managed Care 910-615-5572 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0206X Clinic/Center Radiology, Mammography (Licence: NC 240732) |
| Additional Taxonomies | 2085U0001X Radiology Diagnostic Ultrasound |
| 261QR0200X Clinic/Center Radiology | |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2023-03-23 |