| NPI | 1770195166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA RENEE QUEEN Member Manager 828-430-3511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |