| NPI | 1174625164 |
|---|---|
| Doing Business As | VISION MRI OF WOODRIDGE |
| Entity Type | Organization |
| Authorized Contact | GAELANE ROSINSKI Contracting Credentialing Specialis 847-658-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-16 |