| NPI | 1154364495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA M SPEARS Owner 317-872-3583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01040614) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-08-11 |