| NPI | 1114606381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONI GREGORY Owner Operator 314-229-0632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-14 |