| NPI | 1215556089 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JASON ANTWAUN ACCILIEN Cardiovascular Sonographer 540-441-4259 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 156F00000X Technician/Technologist | 
| Enumeration Date | 2020-04-13 | 
| Last Update Date | 2020-04-14 |