| NPI | 1861134462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA RENEE QUEEN Member Manager 828-506-1927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-10-05 |