| NPI | 1043304181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | V PETER SEMOGAS Owner 208-667-9334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ID M-5767) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |