| NPI | 1932624723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA ROELLE Director Of Credentialing 614-689-1691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2024-07-19 |