| NPI | 1053664680 |
|---|---|
| Doing Business As | INTERMOUNTAIN PEDIATRIC IMAGING |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085P0229X Radiology Pediatric Radiology (Licence: UT 4802012) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-22 |