| NPI | 1336289107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN GANOTE Operations Manager 317-557-6165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center Radiology, Mobile (Licence: KY 720176) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-02-19 |