| NPI | 1780135632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CONDOS President 337-244-3590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2016-10-16 |
| Last Update Date | 2016-10-16 |