| NPI | 1235507773 |
|---|---|
| Doing Business As | COMMUNITY BREAST SCREENING/XRAY-WASHINGTON SQUARE |
| Entity Type | Organization |
| Authorized Contact | JON FOHRER President 317-621-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2019-07-30 |