NPI | 1164491304 |
---|---|
Doing Business As | JEFFERSON IMAGING-BALA |
Entity Type | Organization |
Authorized Contact | BRIAN G. DRAZBA Senior V.P. & Chief Accounting Ofcr 949-282-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 293D00000X Physiological Laboratory |
Enumeration Date | 2006-03-17 |
Last Update Date | 2020-08-22 |