| NPI | 1326094608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAGE YARBROUGH Client Representative 330-493-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2009-07-16 |