| NPI | 1811994551 |
|---|---|
| Doing Business As | ULTRA IMAGING OF LAKELAND |
| Entity Type | Organization |
| Authorized Contact | LAVELLE R HARDIN Credentialing Coordinator 615-344-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-08-02 |