A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Physiological Laboratory, (Independent Physiological Lab) |
293D00000X | 47 | Independent Diagnostic Testing Facility (IDTF) |
| NPI Number | 1467875229 |
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| LBN Legal business name | PROVIDENCE HEALTH NETWORK LLC | ||||
| Authorized official | GEORGE ZARA - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 01/30/2014 | ||||
| Last updated | 06/23/2014 - About 12 years ago | ||||
| Identifiers |
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