| NPI | 1871774703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST L COBURN President 276-739-7989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101023208) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2008-03-07 |