| NPI | 1235186867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M ODUM Practice Manager 219-464-4891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 50000061A) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2015-02-19 |