| NPI | 1912253220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREETHAM PILLARISETTY Director 803-673-6355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2015-12-21 |