| NPI | 1154371805 |
|---|---|
| Doing Business As | MARIETTA IMAGING CENTER MARIETTA IMAGING AT NORTH COBB |
| Entity Type | Organization |
| Authorized Contact | MIKE EVERTSEB CEO 770-792-1234 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| 2085B0100X Radiology, Body Imaging | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 2085N0904X | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-04-25 |