| NPI | 1972051548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R CONDOS President 337-602-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |