| NPI | 1063482156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY HAAG Clinical Operations Manager 800-304-1098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2025-05-29 |