| NPI | 1104302389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSON MOST D/O 240-534-8850 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MD M371) |
| Additional Taxonomies | 261QM1200X Clinic/Center Magnetic Resonance Imaging (MRI) (Licence: MD M371) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2025-07-03 |