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A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Ultrasound |
2085U0001X |
| NPI # | 1669578480 |
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| LBN Legal business name | CENTRAL STATES DIAGNOSTIC | ||||||||
| Authorized official | CATHERINE DICE - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 09/16/2006 | ||||||||
| Last updated | 06/03/2020 - About 6 years ago | ||||||||
| Identifiers |
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CENTRAL STATES DIAGNOSTIC
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CENTRAL STATES DIAGNOSTIC