| NPI | 1689969172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORACE ASHWORTH STEVENSON MCCAMMON President 301-613-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: MD 1043771) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |