| NPI | 1124236740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA BOWYER President 502-876-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: KY 720043) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2012-02-01 |