| NPI | 1104982719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATYANA WHITE President 702-870-1195 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| 2085B0100X Radiology, Body Imaging | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-01-30 |