| NPI | 1154502151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EDWARD MILLER Owner 304-327-1541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 19237) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2018-09-28 |