NPI | 1275945925 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER L. WHITE Executive Director 317-350-4403 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: IN 01069842A) |
Enumeration Date | 2014-05-29 |
Last Update Date | 2016-12-02 |