| NPI | 1659361236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA THOMAS Hipaa Compliance Officer 870-414-4052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: AR AR3203) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2016-07-15 |