| NPI | 1326017666 |
|---|---|
| Doing Business As | BROAD STREET IMAGING CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES F. STANLEY Chief Financial Officer; Treasurer 949-282-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2012-08-20 |