| NPI | 1538243043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX MOSS Board Member 615-896-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: TN ODC0000000012) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2011-12-27 |