| NPI | 1669834131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEE BUNCH CFO 919-799-4007 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2022-12-20 |