| NPI | 1801040274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA R QUEEN Member Manager 828-396-5634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2021-05-05 |