| NPI | 1790516094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MCCLAIN Senior Provider Network Analyst 301-315-3826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-08-09 |