Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiology, Mobile Mammography |
261QR0207X | 45 | Mammography Center |
| NPI Number | 1063287001 |
| LBN Legal business name | WELLSPACE HEALTH |
| Authorized official | ALASDAIR PORTEUS - (CHIEF EXECUTIVE OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/20/2023 |
| Last updated | 11/20/2023 - About 3 years ago |
| Identifiers | n/a |
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