| NPI | 1083904114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD C KUMMER Managing Member 802-338-5476 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2024-03-19 |