| NPI | 1144815655 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KEITH M HARRINGTON Vice President 424-218-9368  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology | 
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology | 
| Enumeration Date | 2021-03-05 | 
| Last Update Date | 2023-05-26 |