| NPI | 1891343315 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SARA ARREDONDO Authorized Official 614-810-1300 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2086S0129X | 
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology | 
| Enumeration Date | 2019-08-28 | 
| Last Update Date | 2020-04-08 |