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 |