| NPI | 1881803229 |
|---|---|
| Other Name | COLLEGE PARK RADIOLOGY |
| Entity Type | Organization |
| Authorized Contact | CHUCK CHAMBERS Administrator 913-469-0503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-08-10 |