| NPI | 1295124352 |
|---|---|
| Other Name | SPINE AND SPORTS IMAGING |
| Entity Type | Organization |
| Authorized Contact | SCOTT LILLY Administrator 805-701-8580 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |