CDT GMSP INC

Radiology — Diagnostic Radiology

Code: 2085R0202X

Clinic/Center — Health Service

Code: 261QH0100X

Clinic/Center — Urgent Care

Code: 261QU0200X

Clinical Medical Laboratory

Code: 291U00000X

Clinic/Center — Federally Qualified Health Center (FQHC)

Code: 261QF0400X