| NPI | 1225252091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DOUGLAS Contract Manager 502-477-1815 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-06-20 |