| NPI | 1912192618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA PRATER Manager/Sonographer 740-845-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OH 35-06-1554C) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |