| NPI | 1144704610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEZ CLARK Owner 408-231-4853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2019-05-02 |