| NPI | 1568086940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LANSDELL Owner 870-584-1055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2021-02-22 |