| NPI | 1164475869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R ROCHE Authorized Representative 678-904-2590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2012-11-20 |