| NPI | 1558754994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON B THURMAN President / Owner 386-239-8270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2024-02-14 |