| NPI | 1134120454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY W POLLEY Executive Director 314-569-0612 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2011-03-09 |