| NPI | 1578557815 |
|---|---|
| Other Name | RADIOLOGY, P.C. |
| Entity Type | Organization |
| Authorized Contact | JOLEEN M HOLOBYN Provider Enrollment Coordinator 574-258-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| 2085N0904X | |
| 2085R0203X Radiology, Therapeutic Radiology | |
| 2085N0700X | |
| 2085P0229X Radiology, Pediatric Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2011-07-19 |