| NPI | 1619658945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EMANUELSEN Managing Partner 256-456-5870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2026-09-10 |