| NPI | 1225274483 |
|---|---|
| Other Name | MARY BIRD PERKINS CANCER CENTER MEDICAID GROUP |
| Entity Type | Organization |
| Authorized Contact | PAUL R. NOWACKI CFO 225-215-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2023-11-17 |