| NPI | 1447806583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOSCHA NEAL Business Operations Manager 704-865-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |