| NPI | 1437196318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKEY FOSTER CEO 910-715-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-12-17 |