| NPI | 1609064971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVELLE HARDIN Credentialing COO Rdinator 615-344-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2008-02-04 |