| NPI | 1316201882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON DEAN WINGATE CEO/Rt 615-671-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: TN 346808) |
| Additional Taxonomies | 2471S1302X Radiologic Technologist, Sonography (Licence: TN 112229) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-07-10 |