| NPI | 1568434025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY POWELL President 541-229-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2009-12-11 |