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