| NPI | 1285500314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SLOAN TRAMMELL Insurance Credentialing Manager 410-912-6989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |