| NPI | 1245306547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDWARDS Facility Manager 662-287-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |