NPI | 1700074903 |
---|---|
Entity Type | Organization |
Authorized Contact | LAVELLE HARDIN Credentialing COO Rdinator 615-344-8203 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
Additional Taxonomies | 261QM1200X Clinic/Center Magnetic Resonance Imaging (MRI) |
261QR0206X Clinic/Center Radiology, Mammography | |
Enumeration Date | 2007-10-12 |
Last Update Date | 2007-11-07 |