| NPI | 1881644110 |
|---|---|
| Doing Business As | COOSA DIAGNOSTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | RICHARD L GRAY Owner/CEO 706-354-1036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 261QM1200X Clinic/Center Magnetic Resonance Imaging (MRI) (Licence: GA N/A) |
| 261QR0200X Clinic/Center Radiology (Licence: GA NA) | |
| 261QR0200X Clinic/Center Radiology | |
| 261QR0206X Clinic/Center Radiology, Mammography (Licence: GA N/A) | |
| 261QR0206X Clinic/Center Radiology, Mammography | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2010-03-31 |