| NPI | 1326280538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY STEVENS Owner 248-824-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 720325) |
| Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: KY 720325) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2024-04-26 |