NPI | 1992527154 |
---|---|
Former Legal Business Name | PHOENIX DIAGNOSTIC SERVICES LLC |
Entity Type | Organization |
Authorized Contact | GINA MURRAY CEO 910-778-1312 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2024-10-29 |
Last Update Date | 2024-10-29 |