| NPI | 1326359910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR COLLADO Radiologist 313-964-9072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| 2085B0100X Radiology, Body Imaging | |
| 2085D0003X Radiology, Diagnostic Neuroimaging | |
| 2085N0700X Radiology, Neuroradiology (Licence: MI 4301024834) | |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2085P0229X Radiology, Pediatric Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2011-06-17 |