| NPI | 1144033663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HAGY CFO 606-430-3519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |