| NPI | 1649275728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY KING Business Manager 304-344-3457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: WV 00012) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2025-03-12 |