| NPI | 1407836893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA A SCHMESKI Office Manager 870-491-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: AR 261QR0208X) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2020-08-22 |