| NPI | 1245294156 |
|---|---|
| Doing Business As | BROAD STREET IMAGING |
| Entity Type | Organization |
| Authorized Contact | MIKE CARR President 215-663-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085B0100X Radiology Body Imaging |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2020-08-22 |