NPI | 1659940807 |
---|---|
Doing Business As | LAKE MEDICAL IMAGING AT MULBERRY GROVE |
Entity Type | Organization |
Authorized Contact | JOSHUA LEE FLOYD Director, Risk Management 365-352-2583 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Enumeration Date | 2021-06-22 |
Last Update Date | 2021-06-23 |