| NPI | 1235689894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET KRONEMBERG Technical Director/CEO/Manager 877-202-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |