| NPI | 1922481472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL WAITS President 662-322-5919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 15458) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |