| NPI | 1033446802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITA B ACHESON Member 888-846-5527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00021389) |
| Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: WA MD00021389) |
| Enumeration Date | 2009-11-15 |
| Last Update Date | 2013-10-03 |