| NPI | 1093316259 |
|---|---|
| Doing Business As | MOBILE DIAGNOSTIC CENTER - MIDTOWN |
| Entity Type | Organization |
| Authorized Contact | ERICA MADISON Credentialing 251-318-2681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2021-04-08 |