| NPI | 1295986123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA GONZALEZ Lead Administrator 219-922-9280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |