| NPI | 1730835125 |
|---|---|
| Doing Business As | GRAPEVINE IMAGING |
| Entity Type | Organization |
| Authorized Contact | ANNA DANIELLE GARTRELL Authorized Official 501-580-8352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2023-10-31 |