| NPI | 1649543141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA K MILLER Director Of Billing 765-446-5417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085B0100X Radiology Body Imaging |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |