| NPI | 1124207345 |
|---|---|
| Doing Business As | FREMONT RADIOLOGY MRI |
| Entity Type | Organization |
| Authorized Contact | VALERIE LAWRENCE Office Manager 307-856-6530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: WY FDTC-300) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |