| NPI | 1215053202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA ELLISTON Lead Mri Technician 907-561-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AK 420293) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |