Organization Name: | RADIOGRAPHICS, INC |
NPI Number: | 1720476088 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GLENN L JOHNSON (VP) |
Mailing Address: | 2135 Hillshire Cir Memphis |
State: | TN US |
Postal Code: | 381336074 |
Phone Number: | 9013824175 |
Fax Number: | 9013822929 |
NPI Enumeration Date: | 01/08/2015 |
NPI Last Update Date: | 12/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |