| NPI | 1811186703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRIE A BEASLEY Office Manager 270-247-8710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 25079) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2011-11-08 |