| NPI | 1588661144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D POLFREMAN CEO 469-398-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center Radiology, Mammography (Licence: OH 03-G-02046-01) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2012-11-20 |