| NPI | 1104225531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLEE STIEGLITZ-LEATHAM President/ Owner 855-364-6243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: MN 435970) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2024-02-29 |