| NPI | 1982651543 |
|---|---|
| Doing Business As | INDEPENDENCE PARK IMAGING |
| Entity Type | Organization |
| Authorized Contact | LAVELLE R HARDIN Credentialing Coordinator 615-344-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| 261QR0206X Clinic/Center, Radiology, Mammography | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2009-04-20 |