| NPI | 1457480832 |
|---|---|
| Doing Business As | LOG MOUNTAIN DIAGNOSTICS |
| Entity Type | Organization |
| Authorized Contact | CHANDA B SAMS Owner 606-269-7146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: KY 142920) |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2012-09-26 |