| NPI | 1285649095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C CHABOT Director 636-536-5071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: MO LC0571429) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |