| NPI | 1164527149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA R. QUEEN Member Manager 828-430-3511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2021-12-22 |