| NPI | 1679682900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE HOLTSFORD Director, Business Office Services 615-465-7466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: AZ pending) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: AZ pending) |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: AZ pending) | |
| 261QR0200X Clinic/Center, Radiology (Licence: AZ pending) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-11-06 |