| NPI | 1093093726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFRED BRACERAS President 308-889-5332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2021-11-11 |