| NPI | 1861383655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BURRIS President / Owner 317-796-0157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-14 |