| NPI | 1134122054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DOUGLAS Credentialing Manager 502-403-1401 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2008-07-07 |