| NPI | 1073741674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIVYANG R PATEL Physician 910-484-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: NC 02611221) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |