| 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 |