| NPI | 1235523762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL A OSAGIEDE Director 317-441-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01061082A) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2023-01-27 |