| NPI | 1215931092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE COLLINS Administrator 520-575-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: AZ 2302) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2010-11-19 |