| NPI | 1306286513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY GROSS President & Treasurer 260-467-9716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IN 99057753A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 99057753A) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IN 99057753A) | |
| 2085B0100X Radiology, Body Imaging (Licence: IN 99057753A) | |
| 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: IN 99057753A) | |
| 2085N0700X Radiology, Neuroradiology (Licence: IN 99057753A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 99057753A) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: IN 99057753A) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 99057753A) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |