| NPI | 1235389552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN KANEWSKE Dir. PT. Account 469-398-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center Radiology, Mammography |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2010-08-23 |