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 |