| NPI | 1295204253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA ROSE AMBROZY Billing Administrator 586-477-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |