| NPI | 1255844106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MAZZULLA Managing Member 414-281-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM1200X Clinic/Center Magnetic Resonance Imaging (MRI) | |
| 261QR0200X Clinic/Center Radiology | |
| 261QR0206X Clinic/Center Radiology, Mammography | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2020-08-05 |