| NPI | 1356443683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFONSO GAY Md / Partner 803-644-1357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging |
| 2085D0003X Radiology Diagnostic Neuroimaging | |
| 2085N0700X Radiology Neuroradiology | |
| 2085N0904X Radiology Nuclear Radiology | |
| 2085P0229X Radiology Pediatric Radiology | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| 261QM1200X Clinic/Center Magnetic Resonance Imaging (MRI) | |
| 261QR0200X Clinic/Center Radiology | |
| 261QR0206X Clinic/Center Radiology, Mammography | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2021-08-31 |