| NPI | 1619903242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MANDABACH Business Office Manager 317-706-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2013-10-01 |