| NPI | 1659633774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN LOOMIS CEO 859-344-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2015-01-13 |