| NPI | 1902049513 |
|---|---|
| Other Name | DANVILLE DIAGNOSTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | JON K KOSTELIC President 859-219-0542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |