| NPI | 1235281569 |
|---|---|
| Doing Business As | HACKLEY CCTA |
| Entity Type | Organization |
| Authorized Contact | MICHELLE LOHMAN Dir Phys Network Finan Services 231-727-4455 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2009-01-19 |