| NPI | 1083585681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA L AHERN Special Assistant Secretary 952-738-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-09-16 |