| NPI | 1295849537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RICHARD SCHRYVER Owner CEO 303-371-0073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center Radiology, Mobile (Licence: CO 02748520000) |
| Additional Taxonomies | 293D00000X Physiological Laboratory (Licence: CO 02748520000) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-09-27 |