| NPI | 1548619984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANIE R. HAMMOND Sole Member/Owner 502-386-8012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |