| 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 |