| NPI | 1730985722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY FRAZIER Owner 662-570-1819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-05-02 |