NPI | 1568891364 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA L JESSUP Member Manager 910-880-9380 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy | |
207U00000X Nuclear Medicine | |
2085U0001X Radiology, Diagnostic Ultrasound | |
247100000X Radiologic Technologist | |
2471N0900X Radiologic Technologist, Nuclear Medicine Technology | |
261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
293D00000X Physiological Laboratory | |
332B00000X Durable Medical Equipment & Medical Supplies | |
335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
Enumeration Date | 2013-11-02 |
Last Update Date | 2018-03-17 |