| NPI | 1235619321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA RENEE QUEEN Member Manager 828-430-3511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2025-03-20 |