| NPI | 1538107875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH M HARRINGTON Vice President 424-218-9368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy |
| 2085N0700X Radiology, Neuroradiology | |
| 2085P0229X Radiology, Pediatric Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-06-05 |