| NPI | 1073595179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA DORSEY CEO 859-331-4369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2019-11-22 |