| NPI | 1861247785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JARED LOKITZ Interim Executive Director 318-716-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-05-08 |