| NPI | 1124143011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANNTEJ S SRA CEO 602-705-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 28033) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2023-07-16 |