| NPI | 1578699138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN INGRAM President 866-546-6643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD.201213) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2009-11-12 |