| NPI | 1194121764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA DAWN TALWAR Medical Sonographer, Radiographer 731-676-7635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center Radiology, Mobile (Licence: TN 17398) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2015-01-27 |