| NPI | 1073911939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL D. RANDAL KNATT President 337-280-8648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: LA MD14973) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |