NPI | 1699865626 |
---|---|
Doing Business As | LMC RADIOLOGY |
Entity Type | Organization |
Authorized Contact | JEFFREY DAVID FORMAN Director 757-923-9604 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: VA OH660) |
Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: VA OH660) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2025-10-07 |