| NPI | 1245236132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTY MEDANICH COO 806-792-2767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2021-11-03 |