| NPI | 1215817895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERRE PAQUET CEO 802-341-8696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0208X Clinic/Center Radiology, Mobile |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |