| NPI | 1114456266 |
|---|---|
| Doing Business As | CENTER FOR DIAGNOSTIC IMAGING PORTSMOUTH |
| Entity Type | Organization |
| Authorized Contact | RAMONA L AHERN Special Assistant Secretary 952-738-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2017-06-11 |
| Last Update Date | 2019-08-26 |