| NPI | 1871734558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVINDRA P MALAPUR Ultrasonographer 304-342-0556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: WV 2085U0001X) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-11 |