| NPI | 1831434687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZA RUBIN Administrator 901-761-9121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology (Licence: TN 30943) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |