| NPI | 1851324529 |
|---|---|
| Other Name | PROGRESSIVE HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | YASMIN K BUDHWANI Administrator 678-924-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology (Licence: GA 010492) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2009-02-18 |