| NPI | 1356624100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON TAYLOR Radiology Practitioner Assistant 502-500-6648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 00) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |