| NPI | 1326136383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY J LEE President 618-395-2503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: IL 21588) |
| Additional Taxonomies | 2471S1302X Radiologic Technologist, Sonography (Licence: IL 21588) |
| 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: IL 21588) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |