| NPI | 1063256709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD ISAACSON President 801-442-5737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-06-19 |