| NPI | 1063517548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOU ANN VAUGHN Admin Assistant 317-865-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |