| NPI | 1457945420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES M HANEY Owner 601-604-7107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2021-02-21 |
| Last Update Date | 2024-01-25 |