| NPI | 1063402279 |
|---|---|
| Doing Business As | NORTHSIDE IMAGING CENTER |
| Entity Type | Organization |
| Authorized Contact | LAVELLE HARDIN Credentialing Coordinator 615-344-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2007-08-28 |