| NPI | 1356021059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK STRACK CFO 502-561-7213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2025-10-29 |