| NPI | 1235149469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTI L KIST Owner President 479-967-6492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: AR Limited Liability) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-11-21 |