| NPI | 1902902307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BAILEY Director 317-275-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |