| NPI | 1043643059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JOHNSON Owner 651-647-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 28524) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2024-01-24 |