| NPI | 1114015153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP MONKS Owner/Rt 931-438-9085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: TN MDX0000003440) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-01-06 |