| NPI | 1114612314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL GRIEGO Owner 505-977-4788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| 2471V0105X Radiologic Technologist, Vascular Sonography | |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2025-01-02 |