| NPI | 1417267410 |
|---|---|
| Doing Business As | LAKEVIEW CHURCHLAND RADIOLOGY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL B STOUT CEO 757-539-0251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: VA 215137) |
| Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: VA 215137) |
| Enumeration Date | 2010-10-12 |
| Last Update Date | 2010-10-21 |