| NPI | 1326246182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR COLLADO Radiologist 810-333-8026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2011-05-04 |