| NPI | 1154442028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D TROUT Clinic Administrator 304-647-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246XS1301X Spec/Tech, Cardiovascular, Sonography |
| Additional Taxonomies | 247100000X Radiologic Technologist |
| 2471B0102X Radiologic Technologist, Bone Densitometry | |
| 2471C3402X Radiologic Technologist, Radiography | |
| 2471M2300X Radiologic Technologist, Mammography | |
| 2471S1302X Radiologic Technologist, Sonography | |
| 2471V0105X Radiologic Technologist, Vascular Sonography | |
| 2472D0500X Technician, Other, Darkroom | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |