| NPI | 1760577878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLENE GOODWIN Credentialing Manager 205-868-6209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-07-11 |