NPI | 1124103379 |
---|---|
Doing Business As | TALLGRASS DIAGNOSTIC IMAGING |
Entity Type | Organization |
Authorized Contact | RANDY WAYNE WICKERSHAM VP Of Operations 405-418-2200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
Enumeration Date | 2006-10-26 |
Last Update Date | 2020-08-22 |