NPI | 1538162334 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE DOUGLAS Credentialing Manager 502-477-1815 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
Enumeration Date | 2005-05-24 |
Last Update Date | 2008-06-12 |