| NPI | 1902518236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTOYA SUMMERS Office Manager 301-523-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography |
| 261QR0207X Clinic/Center, Radiology, Mobile Mammography | |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2023-03-02 |