| NPI | 1376769323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN KENNETH MUHLENDORF Director 757-461-6131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2018-03-17 |