| NPI | 1457706376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GOODWIN Practice Manager 501-219-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-08-24 |