| NPI | 1518594480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER LAFFERTY Treasurer 614-507-8303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085N0904X |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085B0100X Radiology, Body Imaging | |
| 2085N0700X | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-07-09 |