| NPI | 1679735690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE DWAYNE PENNINGTON Sonographer/Owner 615-478-5702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: TN 92909) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |