| NPI | 1235169301 |
|---|---|
| Doing Business As | GREAT LAKES MEDICAL IMAGING |
| Entity Type | Organization |
| Authorized Contact | DAVID L GILLILAND Owner 336-274-2844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471N0900X Radiologic Technologist, Nuclear Medicine Technology |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2011-01-13 |