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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Magnetic Resonance Imaging (MRI) |
261QM1200X |
| NPI # | 1932209202 |
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| LBN Legal business name | KINGS DAUGHTERS DIAGNOSTIC CENTER | ||||
| Authorized official | TAMMIE NIEMER - (OFFICE MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/25/2006 | ||||
| Last updated | 08/22/2020 - About 6 years ago | ||||
| Identifiers |
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KINGS DAUGHTERS DIAGNOSTIC CENTER