| NPI | 1033164991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE BENNETT Director Of Operations 719-380-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2011-12-06 |