| NPI | 1073428579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY HENDERSON RN, Bsn 901-605-4833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2026-08-18 |
| Last Update Date | 2026-08-28 |