| NPI | 1023606951 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | VICKI FERRIAS Office Manager 888-347-2461 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) | 
| Enumeration Date | 2021-01-06 | 
| Last Update Date | 2021-01-06 |