| NPI | 1235500067 | 
|---|---|
| Doing Business As | PALMETTO IMAGING STADIUM | 
| Entity Type | Organization | 
| Authorized Contact | DANIEL SCHAEFER CEO 770-300-0101 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology | 
| Enumeration Date | 2015-10-20 | 
| Last Update Date | 2015-10-20 |