| NPI | 1013944206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E MYERS Owner 803-308-1524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: SC 33630) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-10-02 |