| NPI | 1083903843 |
|---|---|
| Doing Business As | RICHARDS MEMORIAL IMAGING FAIRMONT |
| Entity Type | Organization |
| Authorized Contact | KEVIN OWENS Owner 512-445-4502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |