| NPI | 1932240801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT DAVIES CEO 469-398-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: OH 107276) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2021-10-20 |