| NPI | 1891454898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA WALKER Credentialing Specialist 501-404-8007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2021-12-17 |