| NPI | 1083266761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLEE LEBLEU Vice President, Revenue Cycle 424-321-7026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2024-07-10 |