| NPI | 1033367248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA LONGMORE GRUND Exec VP & CFO 800-544-3215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: IL IL-0226691-1) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2016-10-19 |