| NPI | 1114069333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE GLASER Owner 615-243-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center Radiology, Mobile (Licence: TN MDX0000004482) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |