| NPI | 1144742768 |
|---|---|
| Doing Business As | THE DIAGNOSTIC CLINIC AT WRMC |
| Entity Type | Organization |
| Authorized Contact | BROOK COSSEY Contract Compliance Specialist 870-793-5504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2022-07-21 |