| NPI | 1629874847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIA MASEY COO 251-388-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246XS1301X Spec/Tech, Cardiovascular, Sonography |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-04-30 |