| NPI | 1417909896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DAWSON Director Of Billing 765-446-5417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 2085R0202X) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: IN 2085N0904X) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-07-17 |