| NPI | 1255728226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GRACIA Diagnostic Radiology Tech 419-822-6931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: 508605) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |