| NPI | 1891227310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLI K PAULEY Sonographer 304-575-6923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2018-03-17 |