| NPI | 1265484182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALU S MANI Authorized Representative 770-389-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |