| NPI | 1912252768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C MASON Owner 317-694-0215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01036336A) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2016-10-18 |