| NPI | 1922524719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER OBEN Director/Manager 678-857-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: AZ 70271) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: AZ 70271) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2022-07-21 |