| NPI | 1730182445 |
|---|---|
| Doing Business As | STONESTREET MEDICAL IMAGING |
| Entity Type | Organization |
| Authorized Contact | MICHELLE DOUGLAS Credentialing Manager 502-403-1401 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2009-01-07 |