| NPI | 1538205422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA JEAN VICARS Own President 812-234-4642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: IN XF200934) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2009-08-20 |