| NPI | 1083209654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH M HARRINGTON Vice President 424-218-9368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2023-05-26 |