| NPI | 1902865413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA B KELLEY President 601-573-0577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 2471S1302X Radiologic Technologist Sonography |
| 2471V0105X Radiologic Technologist Vascular Sonography | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2023-03-30 |