| NPI | 1164599353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK HARRELSON Office Manager 800-474-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: GA 025199) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-08-17 |