| NPI | 1205588308 |
|---|---|
| Doing Business As | UNIVERSITY DIAGNOSTICS-NORTHSHORE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM PERRY BAKER Secretary 866-591-5559 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |