| NPI | 1649221144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE ROME Owner 573-875-0273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME58418) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-08-22 |